Are Bullet Fragments Causing Lead Poisoning?
Patients with retained bullet fragments are at risk for toxic lead levels and should probably be screened for the first year after ballistic injury.
Heatstroke
Heatstroke is a deadly triad of hyperthermia, CNS dysfunction, and multiorgan failure. Classic (or passive) heatstroke is due to environmental exposure and poor heat dissipation, whereas exertional heatstroke is related to strenuous physical activity. Prompt recognition and treatment can be life-saving and is focused on rapid cooling.
Triaging Children in Mass Casualty – Which Tool Is Best?
Four mass casualty incident (MCI) triage sorting systems performed similarly in children, each 57-59% accurate. Those considered were SALT, JumpSTART, Triage Sieve, and CareFlight.
Scheduled or PRN Crofab for Rattlesnake Bites?
PRN dosing of antivenom (Crofab) for rattlesnake bite based on a clinical and laboratory-triggered strategy led to an overall decreased hospital length of stay (LOS) (27h vs 34h) and amount of antivenom used (8 vs 16 vials) compared to standard maintenance dosing.
New Drones Actually Save Drowning Victims
Drones carrying a rescue buoy were able to find and rescue simulated (and three real) drowning victims in half the time of a traditional lifeguard or one on a Jet Ski.
Dry Drowning – Stop the Myth
Children with a non-fatal drowning event who present to the ED with normal vital signs and normal SpO2 very rarely deteriorated. The 3% (2/62) who had delayed complications did so within one hour of arrival.