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EM Quick Hits 48 – FAST in Pediatric Trauma, Multiple Myeloma, Drowning, AKA, Global EM

Emergency Medicine Cases

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Terminology and Management of Drowning: Focus on Reversing Hypoxia

Terminology for drownings: fatal and non-fatal/nDrowning occurs in a trimodal distribution/nPathophysiology of drowning: surfactant washout and foam production/nManagement of drowning focuses on reversing hypoxia/nUse high FiO2 and positive pressure ventilation/nManage airway and vomiting, but don't get distracted by foam/nMetal C-spine precautions not indicated unless concerning mechanism or clinical signs/nConsider ECMO for patients with profound persistent hypoxia

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