EMERGENCY MEDICINE

Pediatric Burns

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Pediatric Burns

HIGH-YIELD FACTS Print Section Listen Burns are the fifth leading cause of unintentional injury–related death in children. Children younger than 4 years typically suffer scald-related burns, whereas older children typically…

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Dysbaric Injuries

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Dysbaric Injuries

HIGH-YIELD FACTS Print Section Listen An air embolism is the most serious dysbaric injury and requires aggressive care, which includes 100% oxygen, intravenous fluids, and hyperbaric treatment. Patients with suspected…

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Drowning

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Drowning

HIGH-YIELD FACTS Print Section Listen Drowning is the second most common cause of unintentional death in children and adolescents worldwide, with a bimodal distribution of peak incidence between the ages…

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Methemoglobinemia

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Methemoglobinemia

HIGH-YIELD FACTS Print Section Listen Suspect methemoglobinemia in patients with cyanosis unresponsive to 100% oxygen. The antidote for methemoglobinemia is methylene blue. In patients with methemoglobinemia, conventional pulse oximetry produces…

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Human and Animal Bites

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Human and Animal Bites

HIGH-YIELD FACTS Print Section Listen Pasteurella species are common in dog and cat bite wound infections. Eikenella corrodens is a common pathogen in human bite wounds. Rabies and tetanus prophylaxis…

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Hydrocarbons

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Hydrocarbons

HIGH-YIELD FACTS Print Section Listen The primary concern after hydrocarbon ingestion is pulmonary toxicity. Viscosity, surface tension, and volatility are three important properties to assess the toxicity of liquid hydrocarbons….

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Organophosphates and Carbamates

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Organophosphates and Carbamates

HIGH-YIELD FACTS Print Section Listen Organophosphate and carbamate insecticides inactivate the enzyme acetylcholinesterase producing a cholinergic crisis, with the immediate threat to life being respiratory failure. The diagnosis of organophosphate…

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Recreational Substances

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Recreational Substances

HIGH-YIELD FACTS Print Section Listen Bidirectional nystagmus is a unique finding of phencyclidine and ketamine toxicity. Myocardial ischemia and cerebral vascular accidents are potential significant morbidities of cocaine toxicity. There…

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Plants and Mushrooms

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Plants and Mushrooms

HIGH-YIELD FACTS Print Section Listen The vast majority of plant exposures are unintentional, involve small quantities, and the patients are typically asymptomatic. Gastrointestinal upset is the most common manifestation of…

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