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

... 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 ... 17:99, 19 96. 10. Cherington M: Lightning injuries. Ann Emerg Med 25:517, 1995. For further reading in Emergency Medicine: A Com- prehensive Study Guide, 5th ed., see Chap. 1 96,...

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

... 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

... 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 of at least 60 mmHg should ... 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-...

Ngày tải lên: 09/08/2014, 15:20

... 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 ... reduced incarcerated inguinal hernias in the pediatric population. J Pediatr Surg 31: 1218, 19 96. For further reading in Emergency Medicine: A Com- prehensive Study Guide, 5...

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 and ... and 6 years of 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...

Ngày tải lên: 09/08/2014, 15:20

... 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 ... Avulsed teeth in trans- ported patients should be gently replaced in the socket. Other options, in descending order of preference, include placing the tooth in Hank’s solut...

Ngày tải lên: 09/08/2014, 15:20

... disease, 262 – 263 pityriasis rosea, 263 viral infections enteroviruses, 260 – 261 erythema infectiosum, 261 infectious mononucleosis, 261 measles, 261 roseola infantum, 262 rubella, 261 – 262 varicella ... 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...

Ngày tải lên: 09/08/2014, 15:20

... predictive value is best avoided in favor of the more informative posttest probability. Chapter 003. Decision-Making in Clinical Medicine (Part 6) Calculating sensitivity and specificity ... data. In addition, ROC area comparisons do not simulate the way test information is actually used in clinical practice. Finally, biases in the underlying population used to ge...

Ngày tải lên: 06/07/2014, 08:20