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JUST THE FACTS IN EMERGENCY MEDICINE - PART 3 ppt

JUST THE FACTS IN EMERGENCY MEDICINE - PART 3 ppt

JUST THE FACTS IN EMERGENCY MEDICINE - PART 3 ppt

... 70 percent in the very elderly.9, 13 • The most common causes of abdominal pain arelisted in Table 3 8-1 .• Causes of abdominal pain stratified by age arelisted 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 flora in such a way that toxin-producing ... (ECG)finding is nonspecific ST-T-wave changes. The classic S1Q 3 T 3 pattern on the ECG is highly sugges-tive of PE but is present in only 12 percent of pa-tients.• The chest x-ray may be normal in...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 1 ppt

JUST THE FACTS IN EMERGENCY MEDICINE - PART 1 ppt

... Emergency Medicine (ABEM) administers three written exams eachyear: the Certification Exam, the RecertificationExam, and the In- Training Exam. For the mostup-to-date information concerning these ... double-blindstudy 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, Snyder HS, Raccio-Robak ... Carolina School of Medicine, Depart-ment of Emergency Medicine, Chapel Hill, North Carolina (Chapters7, 8)David L. Leader, Jr., D.O., Clinical Instructor, Department of Emergency Medicine, ...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 2 ppt

JUST THE FACTS IN EMERGENCY MEDICINE - PART 2 ppt

... 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 infusionto maintain mean arterial blood pressure ... changesPostherpetic neuralgia Allodynia, shooting, lancinating pain Sensory changes in the involved dermatomePhantom limb pain Variable: aching, cramping, burning, squeezing, Noneor tearing sensationABBREVIATIONS:...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 5 ppsx

JUST THE FACTS IN EMERGENCY MEDICINE - PART 5 ppsx

... 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 to0.2 U/kg/h. Both the insulin infusion ... age. The classic presentation is suddenepigastric pain with pain-free intervals duringwhich the examination can reveal the classic sau-sage-shaped mass in the right side of the abdomen. The ... determined from the clinical ap-pearance and estimated percent dehydration (seeTable 12 8-2 in Emergency Medicine: A Compre-hensive Study Guide, 5th ed.). The calculationsare performed in the...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 6 doc

JUST THE FACTS IN EMERGENCY MEDICINE - PART 6 doc

... 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, includingthose spread by ticks, have their highest incidence in the spring and summer. 3 These diseases areeasily ... decontam-ination, elimination of the toxin, and administra-tion of the antidote.• The airway should be secured. In the obtundedpatient, if gastric lavage is indicated, the patientshould be intubated...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 7 doc

JUST THE FACTS IN EMERGENCY MEDICINE - PART 7 doc

... oxy-gen therapy.DIAGNOSIS AND DIFFERENTIAL• The primary key to the diagnosis is maintaininga high degree of clinical suspicion.• The most useful laboratory test is the determina-tion of the ... Forensic Sci Int90 :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 Medicine: A Com-prehensive ... immediatelyreceive equine-derived antivenin (Crotalidae)polyvalent.• An intradermal skin test (0. 03 mL of 1 : 10 anti-venin) must be placed before the patient is treated;a 10-mm wheal within 30 min is considered...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 8 pot

JUST THE FACTS IN EMERGENCY MEDICINE - PART 8 pot

... small celllung 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 reversestorsional ... 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 Emergency Medicine: A Com-prehensive ... in the emergency department, the tooth should be gently rinsedCHAPTER 138 •HEADACHE AND FACIAL PAIN 421Table 13 8 -3 Diagnosis of Migraine HeadacheFor a headache to be classified as a migraine...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 9 doc

JUST THE FACTS IN EMERGENCY MEDICINE - PART 9 doc

... 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 ahigh false-positive and relatively high false-nega-tive rate. Therefore, either CT scanning or diag-nostic ... associated injuries, not the TBI.• Initial management of increased ICP includes ele-vating the head of the patient’s bed to 30 Њ, provid-CHAPTER 170•INJURIES OF THE PELVIS, HIP, AND FEMUR 5 13 •...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 10 pot

JUST THE FACTS IN EMERGENCY MEDICINE - PART 10 pot

... disposition, 37 5pathophysiology, 37 4Dyshemoglobinemiasmethemoglobinemia, 35 8 36 0sulfhemoglobinemia, 35 8 36 0Dysphagia, 135 – 137 Dyspneaclinical features, 1 13 diagnosis and differential, 1 13 emergency ... 260clinical features, 30 3diagnosis and differential, 30 3 emergency department care and disposition, 30 3 30 4pathophysiology, 30 3Erythema infectiosum, 261Erythema multiforme, 465Erythema ... 508Hantavirus, 30 0Hazardous materials exposurebiologic weapons, 35 8dermal toxins, 35 7 35 8 emergency department care and disposition, 35 7epidemiology, 35 6 35 7inhaled toxins, 35 7neurotoxins, 35 7ocular...
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Chapter 003. Decision-Making in Clinical Medicine (Part 3) ppt

Chapter 003. Decision-Making in Clinical Medicine (Part 3) ppt

... 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 examination is driven ... specific questions rather than a preordained checklist. While the student is palpating the abdomen of the alcoholic patient, waiting for a finding to strike him, the expert clinician is on a focused...
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