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Emergency Medicine Practice

Electrical Injuries in the Emergency Department: An Evidence-Based Review

Authors: Joshua Gentges, DO; Christoph Schieche, MD

Patients with electrical injury pose unique diagnostic and therapeutic challenges that emergency clinicians must not miss. Each year, approximately 10,000 patients present to United States emergency departments (EDs) with electrical burns or electric shock,1 with fatalities declining from around 1000 per year in the early 2000s to 565 in 2015,2 likely because of improved occupational protections.3

Pediatric Emergency Medicine Practice

Pediatric Bacterial Meningitis: An Update on Early Identification and Management

Authors: Emerson Posadas, MD, MBA; Jay Fisher, MD, FAAP, FACEP

Bacterial meningitis in children is one of the most high-risk diagnostic and management challenges for the emergency clinician. Widespread implementation of vaccination strategies against pneumococcal, meningococcal, and Haemophilus influenzae type b diseases has led to a dramatic decline in the frequency of this condition over the past 3 decades.1,2
Pediatric Bacterial Meningitis An Update on Early Identification and Management Emergency Medicine
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EB Medicine Blog

How would you prioritize the workup? — Electrical Injuries in the ED

Thabet A, et al
Electrical Injuries Electric Burns Lightening Effects Low Voltage Versus High Voltage Electrical ShockAs you start work, you wonder where your end-of shift colleague is. The question is answered when the curtain for bay 2 is pulled back and you see her intubating a young man. She tells you he arrived by ambulance for “burn care.” He fell 12 feet to the ground after his mop pole touched a power line above the semi-trailer he was cleaning. There are minor burns to his hands and chest wall, but more worrisome is the pink fluid draining from his ears and nose. As you assess the patient, you wonder how best to prioritize the patient's workup...

Where would you begin?

Pediatric Emergency Medicine Practice

Tick-Borne Illnesses: Identification and Management in the Emergency Department

Jennifer Bellis, MD, MPH; Ee Tay, MD
Tick-Borne Illnesses: Identification and Management in the Emergency DepartmentTick-borne illnesses often present a diagnostic challenge for the emergency clinician. Tick bites are usually not painful, and patients are often unaware of the bite1 because the initial local reaction to a tick bite may be similar to the bite of another insect, such as a mosquito or a chigger. Tick-borne illnesses can be easily overlooked on a patient's initial presentation to the emergency department (ED), because the risk and exposure may seem minimal, such as simply playing in the backyard or having a pet that may bring ticks into the house.

4 AMA PRA Category 1 CreditsTM JUNE 1
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Dr. Chris Bridgwater is a board-certified emergency medicine physician practicing at North Eastern Indiana. He’s been a subscriber to Emergency Medicine Practice since 2006, and he loves that it’s written by experts, is available when and where he needs it, and includes all of the annual CME credits required. He most enjoys topics on endocrine emergencies, and his favorite article was on thyroid emergencies.

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Our Readers Say It Best
  • After reading our issue on airway obstruction and stridor in pediatric patients, your peers say they will…
    "Decrease use of imaging in pediatric patients with croup"
    "Consider laryngomalacia in differential diagnosis of neonatal stridor."
    "Get better reflux history in infants with laryngomalacia"
    "Recognize acute resp distress/failure/emergencies earlier"
    View This Issue
  • After reading our issue on dislocations of the hip, knee, and ankle, your peers say they will…
    "Lower threshold for considering knee dislocation with spontaneous reduction."
    "Will consult ortho prior to reduction of hip dislocation with fracture"
    "Feel more confident in assessing and reducing knee and hip dislocations."
    "Will be more aggressive in timely management of dislocations."
    "Be more careful exam is spontaneous reduction has occurred"
    View This Issue
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Last Modified: 11/15/2018
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