Myth 4 - The extent of surface burn determines the extent of the injury. Unfortunately, skin findings can be misleading.
Myth 5 - The pathway the electricity takes through the body predicts the pattern of injury. It is helpful to be able to see evidence of the path that the electricity took (ex, from toe to hand), but once again, this can be misleading. Myth 6 - All patients with electric injuries require 24 hours of cardiac monitoring. Most patients who arrive to the ED without having had an arrhythmia and who have a normal ECG with no symptoms do not require prolonged monitoring. Myth 7 - Cardiac monitoring and further testing is always required for TASER injuries. There have been deaths noted with TASER injuries, but these have all been associated with patients who had "excited delirium" -- PCP and TASER is a bad combination. Myth 8 - Victims of lightning injury should not undergo prolonged resuscitation. Lightning victims can have meaningful recoveries after prolonged resuscitation. They can even present with Fixed and Dilated pupils. Do not tell EMS providers to pronounce the victim in the field. Continue to resuscitate and bring them to the ED to further assess.
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Back Pain
Indeterminate Ultrasound
High Altitude Cerebral Edema (HACE)
High Altitude Pulmonary Edema (HAPE)
Some Pain Control Options
WE can use ketamine here for pain control...talk to the nurses before you order it though... it might be misunderstood.
b. Brush solids off of patient prior to irrigation/decontamination with NS or water. c. NGT aspiration of a caustic is only very, very rarely recommended. In general, it is NOT recommended.
b. Bases/alkalis = liquefactive necrosis (think tissue softening/saponification resulting in deep penetration)
- Tums at home Case 1 - Post-Operative Pneumoperitoneum and Perforated Marginal Ulcer After Roux-en-Y
Case 2 - Complications of Chronic Suppurative Otitis Media (CSOM)
Important Radiographic Signs to Identify on AP Pelvis/Hip
For Cranial Imaging:
For Cervical Imaging:
For Abdominal Injury:
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