E-9-1-1, Emergency Department and Plasma

Congenital Syphilis

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. 2024 Jan 16;17(1):e257694.

E-9-1-1

E-9-1-1 Plasma Emergency Department OR

Emergency Department Evaluation of Cholestatic Labs

EMDocs

MARCH 4, 2024

Darnall Army Medical Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, (@long_brit) Disclaimer: The views expressed in this post are those of the authors and do not reflect the official policy or position of the Department of the Army, DoD, or the US Government.

Emergency Department

Emergency Department E-9-1-1 ALS OR

Penetrating chest trauma

Don't Forget the Bubbles

JUNE 30, 2023

He has already climbed Ben Nevis in Scotland, visited the Gobi desert (possibly from the comfort of his parents 4 x 4, but who’s judging) and has his bronze D of E nailed. She calls out her findings: A – OK B – 1 puncture mark to the anterior left chest wall, covered with a three-sided dressing. Actively oozing.

E-9-1-1

E-9-1-1 FFP Plasma Emergency Department

REBEL Core Cast 108.0 – Angioedema

REBEL EM

SEPTEMBER 13, 2023

patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01 patients that take ACE inhibitors (but 20-30% of all angioedema presentations to the Emergency Department) 3 times more common in Black Americans ( Kostis 2005 ) 0.01

Frozen Plasma

Frozen Plasma Allergic Reaction FFP Plasma

ToxCard: Diethylene Glycol

EMDocs

SEPTEMBER 7, 2023

1 Clinical Questions: When should a clinician suspect diethylene glycol (DEG) toxicity? DEG is rapidly absorbed when ingested and can reach peak plasma and brain tissue concentrations within four hours of ingestion. Toxicity typically evolves through three phases: 2,3,7,8,9 Phase 1: Gastrointestinal symptoms (e.g.,

E-9-1-1

E-9-1-1 ALS Plasma Emergency Department

Utility of D-dimer Testing in Special Populations

EMDocs

AUGUST 7, 2023

1 A D-dimer level can, therefore, be used as a non-specific and indirect biomarker for the presence of intravascular clotting, which may be useful in the diagnosis of VTE. 1-3 In this patient population, the NPV of a negative D-dimer level is high, such that a negative test makes further evaluation for VTE unnecessary.

E-9-1-1

E-9-1-1 ALS Plasma OR

Sepsis Updates Relevant to the Emergency Physician

EMDocs

DECEMBER 18, 2023

This was based on studies that demonstrated qSOFA was more specific but less sensitive than its counterparts (Table 1). 1 Since 2021, attempts to identify a single screening tool with optimal sensitivity and specificity to predict which patients will develop sepsis or septic shock have been ongoing.

E-9-1-1

E-9-1-1 ALS Emergency Department Plasma

ToxCard: Acute Organophosphate Toxicity

EMDocs

JUNE 7, 2023

1-5 Farmers also treat sheep for parasites using OPs and may become symptomatic after exposure, an illness called Dipper’s Flu. 8 Intermediate syndrome Occurs 1 to 5 days after acute exposure in up to 40% on individuals. 7, 9 Often have absence of excessive cholinergic stimulation. 7 May lead to respiratory failure.

E-9-1-1

E-9-1-1 ICU Emergency Department ED

ToxCard: Chronic Organophosphate Toxicity

EMDocs

JUNE 14, 2023

Patellar reflexes are 1+. 1, 2, 4, 9 Organophosphates are one of many types of insecticide and are used worldwide to manage crops. 1, 2 Symmetric sensorimotor axonopathy: leg cramping to extremity weakness and paralysis. 1, 2 Sensory > Motor neurons with predilection for long axons. Muscle tone is normal.

E-9-1-1

E-9-1-1 Emergency Department Plasma ACS

Sickle Cell Disease Module

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Investigations : Bloods show Hb of 8 g/L, White cell count 13x 10 9 /L, Platelets 570 x10 9 /L, CRP 35mg/L. Blood culture is pending.

E-9-1-1

E-9-1-1 ACS OR ICU

ToxCard: Naloxone – Pearls and Pitfalls

EMDocs

JANUARY 22, 2025

Is there an ideal observation period in the emergency department after reversal with naloxone? 1 Most heroin in the United States actually contains fentanyl and fentanyl analogs. Naloxone reverses the analgesic, respiratory, sedative , and miotic e ffects of opioids. 6 Image 1: Structure of naloxone.

Naloxone

Naloxone E-9-1-1 Overdose NARCAN

ToxCard: Iron

EMDocs

DECEMBER 6, 2024

1 The incidence of iron overdose and iron ingestion related deaths has significantly decreased over time, likely attributable to federal regulation. 1 Commercially available formulations of iron have varying elemental components. 1 Table 1: Iron content of various preparations. Be wary of this stage.

E-9-1-1

E-9-1-1 Frozen Plasma Plasma Overdose

Systemic Lupus Erythematosus: ED presentations, evaluation, and management

EMDocs

FEBRUARY 3, 2025

Although these autoantibodies may be present in a variety of individuals, the development of clinical disease is thought to require exposure to an environmental risk factor such as certain viruses, cigarette smoke or other environmental toxins (1). million have been diagnosed with lupus, with 90% of cases occurring in females (1).

ED

ED E-9-1-1 ALS OR

An EM Resident’s Guide to Basic Airway Management

Core EM

JANUARY 16, 2025

Success at intubation likely takes more time and practice than other procedures, as shown in recent research on ED residents and their success rate at intubating, measured as a function of their total number of intubations (See Figure 1). Introduction Airway management is a critical ED skill to master. Figure 7: (modified from Tanoubi 2009).

EMS

EMS E-9-1-1 ALS OR

ED care of refugee populations from sub-Saharan Africa

EMDocs

JANUARY 6, 2025

ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. g/dL, thrombocytopenia of 96 10 9 /L, prothrombin time (PT) of 16.1 1 By the end of 2023, 117.3 million people had been forcibly displaced, representing 1 in 69 individuals or 1.5% seconds (normal 30-40 seconds), creatinine of 3.11

ED

ED E-9-1-1 ALS Emergency Department

Paramedicine Now

Congenital Syphilis

Emergency Department Evaluation of Cholestatic Labs

Trending Sources

Penetrating chest trauma

REBEL Core Cast 108.0 – Angioedema

ToxCard: Diethylene Glycol

Utility of D-dimer Testing in Special Populations

Sepsis Updates Relevant to the Emergency Physician

ToxCard: Acute Organophosphate Toxicity

ToxCard: Chronic Organophosphate Toxicity

Sickle Cell Disease Module

ToxCard: Naloxone – Pearls and Pitfalls

ToxCard: Iron

Systemic Lupus Erythematosus: ED presentations, evaluation, and management

An EM Resident’s Guide to Basic Airway Management

ED care of refugee populations from sub-Saharan Africa

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