JUST THE FACTS IN EMERGENCY MEDICINE - PART 10 pot
JUST THE FACTS IN EMERGENCY MEDICINE - PART 10 pot
... areunder 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 ... (DVT)antithrombotic therapy, 413clinical features, 109 – 110, 109 tdiagnosis and differential, 110 emergency department care and disposition, 110 111overview, 109 pathophysiology, 109 , 109 tDefibrillation ... allowing559local, and otherwise busy, emergency medical ser-vices to remain operational.• Disadvantages of air medical transport include in- creases in weather sensitivity, expense, mainte-nance,...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 8 pot
... RH: Electroencephalographicmonitoring in the emergency department. Emerg MedClin North Am 12 :108 9, 1994.For further reading in Emergency Medicine: A Com-prehensive Study Guide, 5th ed., see ... Avulsed teeth in trans-ported patients should be gently replaced in the socket. Other options, in descending order ofpreference, include placing the tooth in Hank’ssolution, saliva within the patient’s ... underlyingpale yellow dentin and provokes thermal and airsensitivity. Incorrect management, particularly in children, increases the chance of infecting the den-tal pulp. The exposed dentin must be dried...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 1 ppt
... and the In- Training Exam. For the mostup-to-date information concerning these exams,review the ABEM web site: www.abem.org.• The American Board of Osteopathic Emergency Medicine (ABOEM) administers ... 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, ... varyinversely with heart rate. The corrected intervalis obtained by dividing the measured QT interval (in seconds) by the square root of the R-R interval (in seconds). The normal corrected QT interval...
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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 infusionto 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. However, epinephrine decreases ... 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 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 ... when the intima is vio-lated, allowing blood to enter the media and dis-sect between the intimal and adventitial layers.Common sites for tear include the ascending aortaand the region of the ... dissections as those that involve the as-cending aorta, the arch, and the descending aorta.Type II involves only the ascending aorta and typeIII only the descending aorta.CLINICAL FEATURES• More...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 5 ppsx
... regarding aninitial insulin bolus of 0.1 U/kg and most authori-ties begin with a continuous infusion. If the acido-sis has not improved after2hofinsulin therapy the insulin infusion should be increased ... 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
... 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 obtundedpatient, if gastric lavage is indicated, the patientshould be intubated ... gastric empty-ing, adsorption of the toxin in the gut, and irriga-tion of the bowel. Gastric lavage is recommendedfor patients presenting within 1 h of a potentiallylife-threatening ingestion.1Activated...
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JUST THE FACTS IN EMERGENCY MEDICINE - PART 7 doc
... hemoglobin about 210 to 280 timesmore tenaciously than oxygen. The binding of COto hemoglobin shifts the oxyhemoglobin dissocia-tion curve to the left. Therefore, carboxyhemoglo-bin (COHb) ... 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 ... 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 1 0- mm wheal within 30 min is considered...
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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 ... cervical spine injury in the younger child. Physical examination findings con-sistent with spinal cord injury or abnormalitieson spine radiographs are strong indications forCT scanning.• In the evaluation ... 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...
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Chapter 002. Global Issues in Medicine (Part 10) pot
... Africans in the vicinity of the Albert Schweitzer Hospital in 1960. Am J Cardiol 19:432, 1962. Cancer Low- and middle-income countries accounted for 53% and 56%, respectively, of the 10 million ... Chapter 002. Global Issues in Medicine (Part 10) In stark contrast to the extraordinary lengths to which patients in wealthy countries will go to treat ischemic cardiomyopathy, ... increase by 104 %, and the increase will be fivefold higher in developing than in developed countries. "Western" lifestyle changes will be responsible for the increased incidence of...
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