Journal Feed covers SLE, use of ondansetron in kids, and disposition of geriatric rib fractures.
We’ll give you the tools to help risk stratify electrical injuries, give some guidance on fluid resuscitation, describe immediate management of acute complications and make you aware of the potential delayed complications that must be anticipated.
What role does phenobarbital have in treatment of alcohol withdrawal?
The emDocs cast covers three posts this week: SJS/TEN Mimics, Rapid Hand Neuro Exam, and Penile Zipper Injuries and Entrapment
Why do we miss appendicitis, and what can we do to avoid misdiagnosis?
A 13-year-old male is brought in by EMS for altered mental status after being found in a house fire. The fire department found burned couches in the house with melted plastic covering. His vital signs include BP 78/40, HR 155, T 99.9 Oral, RR 40, SpO2 92% on 15L NRB. He is somnolent but withdraws to pain. He has soot in his nares with carbonaceous sputum, and auscultation reveals rhonchorous and wheezing breath sounds bilaterally. Point of care VBG demonstrates a lactate of 16. What’s the next step in your evaluation and treatment?
Nail bed injuries are common from finger trauma, but we can't be just ripping off everybody's finger nail to see what what was injured. Maybe ultrasound can help?
Does thromboelastography have utility in non-traumatic bleeding?
