JUST THE FACTS IN EMERGENCY MEDICINE - PART 3 ppt

... 70 percent in the very elderly. 9, 13 • The most common causes of abdominal pain are listed in Table 3 8-1 . • Causes of abdominal pain stratified by age are listed in Table 3 8-2 . TABLE 3 8-1 Most Common ... dif - cile in 10 to 25 percent of cases. • Broad-spectrum antibiotics—most notably clin- damycin, cephalosporins, and ampicillin/amoxicil- lin—alter the gut...

Ngày tải lên: 09/08/2014, 15:20

... Emergency Medicine (ABEM) administers three written exams each year: the Certification Exam, the Recertification Exam, and the In- Training Exam. For the most up-to-date information concerning these ... double-blind study on sedatives and hemodynamics during rapid-se- quence intubation in the emergency department: The SHRED study. Ann Emerg Med 31 :31 3, 1998. 7. Zink BJ,...

Ngày tải lên: 09/08/2014, 15:20

... needles (2 7- to 3 0- gauge), and injecting the anesthetic slowly. • The addition of epinephrine to lidocaine extends the length of anesthesia and slows systemic ab- sorption. However, epinephrine decreases ... fluid. 12 • If blood pressure remains Ͻ70 mmHg despite pre- ceding measures, a norepinephrine 8- to 1 2- g/ min loading dose and a 2- to 4- g/min infusion to mai...

Ngày tải lên: 09/08/2014, 15:20

... authori- ties begin with a continuous infusion. If the acido- sis has not improved after2hofinsulin therapy the insulin infusion should be increased to 0.15 to 0.2 U/kg/h. Both the insulin infusion ... age. The classic presentation is sudden epigastric pain with pain-free intervals during which the examination can reveal the classic sau- sage-shaped mass in the right side of...

Ngày tải lên: 09/08/2014, 15:20

... drawn if clinically indicated or if the acetamino- phen level falls in the toxic range on the Rumack- Matthew nomogram. • Activated charcoal 1 g/kg is indicated for GI de- contamination and in case ... are all sources of in- fections in humans. 1,2 • Most zoonoses in the United States, including those spread by ticks, have their highest incidence in the spring and summer...

Ngày tải lên: 09/08/2014, 15:20

... oxy- gen therapy. DIAGNOSIS AND DIFFERENTIAL • The primary key to the diagnosis is maintaining a high degree of clinical suspicion. • The most useful laboratory test is the determina- tion of the ... Forensic Sci Int 90 :33 , 1997. 3. Ma OJ, Kefer MP: An unusual cause of hypotension asso- ciated with penetrating trauma. J Trauma 40:161, 1996. For further reading in Emergency M...

Ngày tải lên: 09/08/2014, 15:20

... small cell lung carcinoma, primary and metastatic brain can- CHAPTER 142 • VERTIGO AND DIZZINESS 433 placed in the supine, head-hanging position of the Dix-Hallpike maneuver. 2 The nystagmus reverses torsional ... Oyhaugen S: The Norwegian polio study 1994: A nationwide survey of prob- lems in long-standing poliomyelitis. Spinal Cord 36 :280, 1998. For further reading in Emer...

Ngày tải lên: 09/08/2014, 15:20

... injury with subsequent increase in pain and swelling as the patient continues to am- bulate suggests a sprain rather than a fracture. • On physical examination, significant findings in- clude the ... of abdominal injury in the pedi- atric patient, the physical examination has both a high false-positive and relatively high false-nega- tive rate. Therefore, either CT scanning or dia...

Ngày tải lên: 09/08/2014, 15:20

... disposition, 37 5 pathophysiology, 37 4 Dyshemoglobinemias methemoglobinemia, 35 8 36 0 sulfhemoglobinemia, 35 8 36 0 Dysphagia, 135 – 137 Dyspnea clinical features, 1 13 diagnosis and differential, 1 13 emergency ... 260 clinical features, 30 3 diagnosis and differential, 30 3 emergency department care and disposition, 30 3 30 4 pathophysiology, 30 3 Erythema infectiosum, 261...

Ngày tải lên: 09/08/2014, 15:20

... in an active patient reduces the likelihood that chronic ischemic heart disease is the underlying cause. The absence of a resting Chapter 0 03. Decision-Making in Clinical Medicine (Part 3) ... refining, and discarding diagnostic hypotheses. The questions they ask in the history are driven by the hypotheses they are working with at the moment. Even the physical...

Ngày tải lên: 06/07/2014, 08:20