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 ... (DVT) antithrombotic therapy, 413 clinical features, 109 – 110, 109 t diagnosis and differential, 110 emergency department care and disposition, 110 111 overview, 109 path...

Ngày tải lên: 09/08/2014, 15:20

... RH: Electroencephalographic monitoring in the emergency department. Emerg Med Clin 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 of preference, include placing the tooth in Hank’s solut...

Ngày tải lên: 09/08/2014, 15:20

... and the In- Training Exam. For the most up-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 (Chapters 7, 8) David L. Leader, Jr., D.O., Clinical Instructor, Department of...

Ngày tải lên: 09/08/2014, 15:20

... 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

... 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 aorta a...

Ngày tải lên: 09/08/2014, 15:20

... regarding an initial 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 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

... 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

... hemoglobin about 210 to 280 times more tenaciously than oxygen. The binding of CO to 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 maintaining a high degree of clinical suspicion. • The most useful laboratory test is the determina-...

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 ... cervical spine injury in the younger child. Physical examination findings con- sistent with spinal cord injury or abnormalities on spine radiographs are strong indications for CT scannin...

Ngày tải lên: 09/08/2014, 15:20

... 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...

Ngày tải lên: 06/07/2014, 08:20