Pediatric EM Morsels

AUGUST 18, 2023

When you read the Morsel on Perichonditis of the ear last week ( or perhaps the Plantar Puncture Morsel from many many many weeks ago ) you may have objected because of the mention that, when indicated, fluroquinolones are safe in children. Some of you may have thought to yourself “first the AAP allows tetracycline ( Rocky Mountain Spotted Fever ) and now they allow fluoroquinolones use in children… what next?!

E-9-1-1 130

E-9-1-1 OR ACS ALS 130

ALiEM

AUGUST 18, 2023

A middle-aged man with a past medical history of hypertension and tobacco use disorder presented to the Emergency Department after evaluation by an ophthalmologist. He complained of ten days of a right-sided headache and three days of diplopia. He denied eye pain, pain with eye movements, photophobia, and vision loss. Physical Exam Vitals : Temp 98.4 °F (36.9 °C); BP 122/72; Pulse 90; Resp 16; SpO2 100% Neuro : Ptosis, “down and out” deviation and pupil dilation of the right eye were noted.

Emergency Department 130

Emergency Department OR 130

EM Literature of Note

AUGUST 18, 2023

We do love to give out opiates in the emergency department. Kidney stone? Opiates. Broken arm? Opiates. Gunshot wound? Opiates. Sore throat? Dexamethasone. And opiates. So of course we’re here with opiates for your back pain. In this modern day, we are far, far more judicious than in times of yore, back when pharma had lobbied for pain to become the “fifth vital sign” But, nonetheless, those patients who are struggling to manage despite non-opiate analgesia frequently end up wi

Naloxone 88

Naloxone Emergency Department OR 88

University of Maryland Department of Emergency Med

AUGUST 18, 2023

Splenic injury treatment depends on the grade of injury. In general, grades 1 and 2 are non-operatively managed. Grades 4 and.

71

71

University of Maryland Department of Emergency Med

AUGUST 18, 2023

In a study looking at 80 blunt trauma patients that died within 1 hour of arrival to a trauma center who underwent a noncontrast post mortem CT.

66

66

University of Maryland Department of Emergency Med

AUGUST 18, 2023

The authors of this paper suggest the following changes, supported by evidence, to the management of traumatic cardiac arrest: 1. &nbs.

67

67

University of Maryland Department of Emergency Med

AUGUST 18, 2023

In this small propensity matching study looking at prehospital blood transfusion vs. emergency department blood transfusion in trauma patients ag.

ED 40

ED Emergency Department 40