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What to do when a child swallows a button battery?
Button batteries are coin-shaped batteries used in watches, hearing aids, car keys, and toys. Ingesting them is dangerous as they can cause holes in the oesophagus or intestines, ultimately causing tissue damage and death. If a child swallows a button battery, immediately go to the nearest emergency. Vomiting induction and the Heimlich manoeuvre are not recommended.
WHO: Almost 50% of the world's population has oral diseases
Severe gum disease, oral cancers, tooth decay, and tooth loss are common oral diseases worldwide. Around 2.5 billion people worldwide are suffering from tooth decay, while 380,000 new oral cancer cases are being diagnosed yearly. Oral health is being neglected due to high out-of-pocket costs and the unavailability of dental equipment in primary healthcare facilities.
"Tranq" can complicate the treatment of drug overdose
Overdose of xylazine-containing products, namely tranq, tranq dope, zombie drug, Philly dope, and sleep-cut, may not be reversed with naloxone treatment as per the FDA. Also, conventional tox screens cannot detect xylazine; thus, it should be considered a possible adulterant while treating overdosed patients. It can cause necrotic skin ulcers and severe withdrawal symptoms.
Giving IV potassium and magnesium could help treat AF
Patients with non-permanent atrial fibrillation or atrial flutter in the emergency department who were administered intravenous potassium and magnesium had an increased rate of spontaneous conversion in AF than no administration (19.2% vs 10.4%), as per a study. The findings suggest administering magnesium and potassium could reduce the necessity of antiarrhythmic treatment.
Pulse CO oximetry is not reliable for detecting carbon monoxide poisoning
Non-invasive pulse CO oximeters showed 77% sensitivity, 83% specificity, and 86% overall accuracy in diagnosing carbon monoxide poisoning, as per a study. However, they had a false negative rate of 23% for triaging patients with suspected poisoning. These findings suggest that pulse CO oximeters are not accurate enough to measure blood COHb levels in clinical practice.
European Emergency Medicine Congress
New CPR method increases survival chances in out-of-hospital heart attacks
Applying an "automated head-up/torso-up positioning" method to cardiopulmonary resuscitation was linked to significant improvements in the chances of survival compared to conventional CPR. Additionally, initiating this method of CPR early improved survival odds within achievable response intervals. This method could improve circulation and reduce intracranial pressure.
ACC's guidance on evaluating acute chest pain in an emergency department
It advises a systematic approach at individual patient and institution levels to achieve optimal outcomes during evaluation. A hs-cTn assay and clinical decision pathway are advised to reduce ED time and safe discharge. ECG remains the best test to be done and interpreted within 10 minutes of arrival. Pre-hospital ECG should be reviewed in those arriving in ambulances.
An ultrasound can move kidney stones in awake patients
The new technique uses a handheld transducer that directs ultrasound waves towards the stones to move or pass them or even break them using burst wave lithotripsy, as per a report. Unlike the standard shock wave lithotripsy procedure, this technique does not need sedation and can be performed in an emergency room setting. Also, this procedure is nearly painless.
Females are facing disparities in the timeliness of trauma care
Female patients experienced more delays in pelvic fixation, triaging, and discharging to a skilled nursing facility following severe trauma compared to their male counterparts, according to a study. Efforts to reduce these disparities in delivering trauma care by gender of patients could help improve the quality and equitability of trauma care.
PUMA issues guidelines to prevent unrecognized oesophageal intubation
The international airway societies and Project for Universal Management of Airways (PUMA) guidelines address the need to avoid unrecognized oesophagal intubation, which can result in significant brain injury, hypoxemia, and death. These guidelines are relevant to global airway practitioners irrespective of geography, clinical location, and patient type.