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 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
JUST THE FACTS IN EMERGENCY MEDICINE - PART 1 ppt
... 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 ... Carolina School of Medicine, Depart- ment of Emergency Medicine, Chapel Hill, North Carolina (Chapters 7, 8) David L. Leader, Jr., D.O., Clinical Instructor, Department of Emer...
Ngày tải lên: 09/08/2014, 15:20
JUST THE FACTS IN EMERGENCY MEDICINE - PART 2 ppt
... 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 maintain mean arterial blood pressure ... 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...
Ngày tải lên: 09/08/2014, 15:20
JUST THE FACTS IN EMERGENCY MEDICINE - PART 3 ppt
... 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 ... DISPOSITION • Inpatient treatment includes intravenous antibiot- ics, usually an aminoglycoside, such as gentamicin or tobramycin (1 .5 mg/kg), and either metronida- zole (50 0 mg) o...
Ngày tải lên: 09/08/2014, 15:20
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 ... decontam- ination, elimination of the toxin, and administra- tion of the antidote. • The airway should be secured. In the obtunded patient, if gastric lavage is indicated,...
Ngày tải lên: 09/08/2014, 15:20
JUST THE FACTS IN EMERGENCY MEDICINE - PART 7 doc
... 1996. 10. Cherington M: Lightning injuries. Ann Emerg Med 25: 517, 19 95. For further reading in Emergency Medicine: A Com- prehensive Study Guide, 5th ed., see Chap. 196, ‘‘Electrical Injuries,’’ ... continu- ous intravenous infusion beginning4hafter the ini- tial BALdoseare the standardagents.Radiopaque lead material in the alimentary tract requires whole-bowel irrigation for...
Ngày tải lên: 09/08/2014, 15:20
JUST THE FACTS IN EMERGENCY MEDICINE - PART 8 pot
... Electroencephalographic monitoring in the emergency department. Emerg Med Clin North Am 12:1089, 1994. For further reading in Emergency Medicine: A Com- prehensive Study Guide, 5th ed., see Chap. 224, ‘‘Seizures ... A nationwide survey of prob- lems in long-standing poliomyelitis. Spinal Cord 36:280, 1998. For further reading in Emergency Medicine: A Com- prehensive Study Gu...
Ngày tải lên: 09/08/2014, 15:20
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 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
JUST THE FACTS IN EMERGENCY MEDICINE - PART 10 pot
... are under the age of 6 months. CLINICAL FEATURES • Abuse in infancy can result in the failure-to-thrive (FTT) syndrome; these children often present to the emergency department (ED) for other com- mon ... 330t, 331 Hand infectious conditions clinical features, 53 5 53 6 diagnosis and differential, 53 6 emergency department care and disposition, 53 6 epidemiology, 53 5 pathop...
Ngày tải lên: 09/08/2014, 15:20
Chapter 064. The Practice of Genetics in Clinical Medicine (Part 5) pptx
... undergoing the Chapter 064. The Practice of Genetics in Clinical Medicine (Part 5) Molecular analysis is generally more informative if testing is initiated in a symptomatic family member, since ... documented mutations (Chap. 3 45) . Informed Consent When the issue of testing is addressed, patients should be strongly encouraged to involve other relatives in the de...
Ngày tải lên: 07/07/2014, 01:20