JUST THE FACTS IN EMERGENCY MEDICINE - PART 7 doc

... 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 ... Med 25:5 17, 1995. For further reading in Emergency Medicine: A Com- prehensive Study Guide, 5th ed., see Chap. 196, ‘‘Electrical Injuries,’’ and Chap. 1 97, ‘‘Lightning Injuries,’...

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 ... 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

... 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 Eme...

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 70 mmHg despite pre- ceding measures, a norepinephrine 8- to 1 2- g/ min loading dose and a 2- to 4- g/min infusion to maintai...

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 ... CDC: Anergy skin testing and preventive therapy for HIV-infected persons: Revised recommendations. MMWR 46(RR-15):1, 19 97. 7. CDC: Initial therapy for tuberculosis in the era of...

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 ... 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...

Ngày tải lên: 09/08/2014, 15:20

... underlying pale yellow dentin and provokes thermal and air sensitivity. Incorrect management, particularly in children, increases the chance of infecting the den- tal pulp. The exposed dentin must be dried ... 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’...

Ngày tải lên: 09/08/2014, 15:20

... children, 270 Pancreatitis clinical features, 170 , 170 t diagnosis and differential, 170 – 171 , 170 t emergency department care and disposition, 171 epidemiology, 169– 170 , 169t pathophysiology, 170 570 INDEX Chest ... 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...

Ngày tải lên: 09/08/2014, 15:20

... higher in hospitalized patients, whereas test specificity will be higher in outpatients. times more likely in a patient with the disease than in a patient without it. Most tests in medicine ... rate [or (1 – sensitivity)/specificity]. The smaller the likelihood ratio (i.e., closer to 0) the better the test performs at ruling out disease. The hypothetical test we...

Ngày tải lên: 06/07/2014, 08:20