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A swallowed watch (button) battery can cause fatal perforation with mediastinitis if lodged in the oesophagus. The need to removed urgently under general anaesthesia makes this a ‘timely’ emergency.
Emergency Care Updates
Emergency Care
Updates
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EM@3AM: Penile Fracture #FOAMed @EMHighAK @long_brit http://www.emdocs.net/em3am-penile-fracture/
In this 15-minute talk from Rebellion in EM 2021, Dr. Sara Gray, MD uses a case-based discussion to look at ED care from the intensivists perspective and includes quick pearls that make patient care better in the ICU.
#talk #case #care #patient #edcare #FOAMed #FOAMcc
RECOVERY-RS supports the utility of CPAP to avoid intubation. this argues for making a stronger effort to get patients on CPAP (or BiPAP with low driving pressure) - even if that might take a little work (and perhaps a wee bit of dexmedetomidine)(2/4)
https://www.thebottomline.org.uk/summaries/icm/recovery-rs/
#ECG "Widow Makers" πͺ¦ π¦ π
ππΎ High rates of VF/cardiogenic shock
Can be mistaken for broad complex tachy or hyperkalaemia
Recognise and treat aggressively.
EM Cases: Liver Emergencies - Acute Liver Failure, Hepatic Encephalopathy, Hepatorenal Syndrome, Liver Test Interpretation & Drugs to Avoid #foamed #foamcc #MedTwitter
EM Cases: Liver Emergencies - Acute Liver Failure, Hepatic Encephalopathy, Hepatorenal Syndrome, Liver Test Interpretation & Drugs to Avoid - emDOCs.net - Emergency Medicine Education
For such a large organ, EM physicians spend proportionally little time thinking about the liver.
www.emdocs.net
Once weβve achieved ROSC our job is not over. Good post-arrest care involves maintaining blood pressure and cerebral perfusion, adequate sedation, cooling and preventing hyperthermia, considering antiarrhythmic medications, optimization of tissue oxygen delivery while avoiding hyperoxia, getting patients to PCI who need it, and looking for and treating the underlying cause.
The Kenya Emergency Medical Care (EMC) Policy 2020-2030 is the first-ever policy in Kenya that seeks to establish a working Emergency Medical Care (EMC) System as a key component of the healthcare system in the country. The policy also speaks to the World Health Assembly resolution WHA 72.16 of 21 May 2019 which urged member states to create policies for sustainable funding, effective governance and universal access to safe, high-quality, needs-based emergency care for all as part of universal health coverage. In developing this policy, the Ministry of Health (MOH) aims to ensure access to the highest standards of emergency medical care in Kenya as envisioned in The Constitution of Kenya (2010) and the Health Act (2017) which guarantees every Kenyan the right to emergency medical treatment.
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Emergency Topics
Research Kenya Intubation Fractures Emergency Radiology Emergency Medicine CPR RSI STEMI EKG Evidence Based Medicine Guidelines ECG Emergency Obstetrics NSTEMI Sepsis ACS Trauma Chest Pain Pneumothorax Resus Education Resuscitation Stroke Emergency Care BLS ACLS Pharmacology Fluid Resuscitation Paediatrics