Ep 124 Burn and Inhalation Injuries: ED Wound Care, Resuscitation and Airway Management

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 21 May 2019

⏱️ 105 minutes

🔗️ Recording | iTunes | RSS

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Summary

It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition. Things like inaccurate estimation of burn size, unnecessary endotracheal intubation, over- and under-estimation of fluid resuscitation volumes, inadequate analgesia and inappropriate wound dressings are just some of the issues where a small change to ED practice patterns could have a huge impact on patient care. In this EM Cases main episode podcast we have the director of the Burn Unit at Hospital for Sick Children, Dr. Joel Fish and EM educator Dr. Maria Ivankovic discuss dozens of pearls and pitfalls in the management of both pediatric and adult burn and inhalation injuries management with a special appearance by airway master George Kovacs to talk about awake intubation in the burn and inhalation injuries patient...

Transcript

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0:00.0	Welcome to the Emergency Medicine Cases podcast.
0:05.0	I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC studios in Toronto.
0:15.5	The new EMCases QuizValt is now up and running on the EMCases website.
0:19.7	More than a thousand MCQs garnered from the
0:22.5	125 or so main episode podcast for EM knowledge the best way you can. Just sign up and build
0:30.3	whatever custom quiz you want by episode or by medical field and see how you do compared to the rest
0:36.6	of the EM community.
0:42.8	It is really test enhanced learning at its pinnacle and it's all free.
0:47.8	And there are a few spots left for podcast camp.
0:52.4	If you are thinking of starting a podcast or want to up your podcast skills or you know anyone else who does let them know, my team and I
0:54.6	will personally coach you for two days of hands-on intensive medical podcast production fun.
1:00.4	It's in Toronto, September 21st and 22nd. PodcastCamp.org is the place to go to register and
1:06.9	find out more. Now on to burn injuries.
1:19.8	In 2013, a rodeo clown from Texas named Casey Wagner claimed he was struck by lightning twice in the same day while attending an event called Rednecks with Paychecks.
1:28.3	Now, there's a sentence I never thought I'd utter on the podcast or in general.
1:34.1	Now, luckily, Casey was medically cleared and discharged from his local hospital with no apparent injuries.
1:40.0	But not all victims of lightning strikes are so lucky.
1:43.3	In this podcast, we're delving into the world of burns and electrical injuries.
1:49.1	These are trauma patients that are firmly in the jurisdiction of emergency medicine.
1:54.4	Now, while these topics are typically tucked neatly away at the end of your EM textbooks,
1:58.8	in this main podcast episode, we're showing them the love
2:02.5	that they deserve. We see burn patients in the ED more than you might think, like half a million
	...

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