other components of the practice of emergency medicine

... board approval The journals reviewed included Annals of Emergency Medicine, Academic Emergency Medicine, the American Journal of Emergency Medicine, and the Journal of Emergency Medicine from ... and Health Sciences, Bethesda, MD, USA 2The Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA, and The Division of Emergency Medicine, Stellenbosch ... Africa 3The Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA, and the Division of Emergency Medicine, University of Texas...

Ngày tải lên: 21/06/2014, 01:20

... book is the closest thing to the everyday practice of emergency medicine that you can do, at home, in the comfort of your favorite easy chair A.M.O.H The Gist of Emergency Medicine - the management ... Published by Adam Hebb The Gist of Emergency Medicine Table of Contents PREFACE AND ACKNOWLEDGMENTS THE MNEMONIC AND THE PREAMBLE THE MANAGEMENT GUIDE 26 THE SHORT FORM OF THE MANAGEMENT GUIDE ... anticipate and show the appropriate concern for the psychological, the sociological, and the economic needs† of the patient, the relatives, and the significant others Refer to the patient by name...

Ngày tải lên: 10/08/2014, 18:20

... over the counter meds (e.g NSAIDs, megavitamens), ± recent changes, ± compliance * Ask the patient if they carry a pack of antacid tablets with them most of the time The Gist of Emergency Medicine ... therapeutics) The Gist of Emergency Medicine 56 The Short form of the Management Guide (1) The initial description of the patient, and the vital signs as supplied by the examiner (are the vital signs ... patients, the practice of the ER physician writing the admission orders and the attending physician reassessing the patient “upstairs” at a later time, is both acceptable and realistic The emergency...

Ngày tải lên: 10/08/2014, 18:20

... only at rest due to the vagal effects of digitalis Cardiac Arrhythmias and ACLS Drugs The Gist of Emergency Medicine 66 → Atrial fibrillation of recent onset → alternate therapy (personal communication ... ACLS Drugs The Gist of Emergency Medicine 71 (17) MgSO4 → consider giving 2-4+g I.V bolus for cardiac arrest not responding to standard ACLS protocols (for other uses of MgSO4, see the index) ... saphenous vein → 5cm below the junction of the medial third of the inguinal ligament Femoral vein → just medial to the femoral artery Distal saphenous vein → just anterior to the medial malleolus Basilic...

Ngày tải lên: 10/08/2014, 18:20

... treat other problems, e.g pancreatitis, alcohol ± other drug withdrawal Endocrinology and Hematology The Gist of Emergency Medicine 118 (4) Lactic acidosis → hyperventilation, weakness, otherwise ... Endocrinology and Hematology The Gist of Emergency Medicine Endocrinology and Hematology 124 The Gist of Emergency Medicine 125 XII CENTRAL NERVOUS SYSTEM (SECOND OF TWO SECTIONS) → See also ... recently been described Central Nervous System (second of two sections) The Gist of Emergency Medicine 126 → Other examples of non-narcotic L of migraine are: ASA, Tylenol®, NSAIDs, gravol®, ergotamine...

Ngày tải lên: 10/08/2014, 18:20

... Fournier’s gangrene Infections The Gist of Emergency Medicine 139 → There is a preliminary report of a possible association between chickenpox, ibuprofen, and this severe form of streptococcal infection ... unsure of the bacterial etiology, giving the serious ill patient an initial dose of claforan® 2g I.V., plus tobramycin 2mg/kg/I.V., plus clindamycin 600mg I.V., following the ABC’s and blood /other ... focus of infection? → septic workup? → presumptive antibiotic therapy prn) Patients with sepsis/meningitis may also have a concurrent focus of infection, e.g UTI Infections The Gist of Emergency Medicine ...

Ngày tải lên: 10/08/2014, 18:20

... descent, HBO2? Environmental Injuries The Gist of Emergency Medicine 161 (15) Dysbarism Barotrauma of descent → squeeze → barotitis media → rupture of TM? → rupture of round or oval window? → perilymph ... foreign bodies in the ER) (4) Thoracic trauma L ACBC’s → minute ventilation should be 1.5-2 X normal CT scan? Trauma The Gist of Emergency Medicine 171 → Clamp the chest tube, and take the patient ... acute renal failure The clue is that the patient does not experience the “magic” with cortinarius mushrooms Caution: the patient may not volunteer, or may deny, the ingestion of mushrooms Group...

Ngày tải lên: 10/08/2014, 18:20

... above the bladder → take an A-P film with the bladder full → take a film with the bladder empty → wash out the bladder with saline, and take another film IVP (intravenous pyelogram) → 100ml of the ... output, lasix prn, mannitol prn, dialysis prn Alkalination of the urine increases the solubility of myoglobulin Trauma The Gist of Emergency Medicine 174 Testicular contusion or rupture? → ultrasound, ... dislocation of the scaphoid, isolated scaphoid fracture, fractures of the middle phalanges or metacarpals with rotation, fracture of the proximal phalanges, and volar plate injuries (refer all of the...

Ngày tải lên: 10/08/2014, 18:20

... Ivatury AA: The position of the Eastern Association for the Surgery of Trauma on the future of trauma surgery J Trauma 2005, 59:77-79 Institute of Medicine Emergency medical services at the crossroads ... [7] The role of the EMP and the question of expertise in major trauma involving complex decision-making beyond the resuscitative phase of care is less well established by these studies These components ... minutes of the arrival of the trauma patient The degree to which surgeons and EMP's interact in the care of trauma patients and the specific clinical roles of each provider is addressed by the ACSCOT...

Ngày tải lên: 13/08/2014, 23:20

... require emergency operations for bleeding Radiotherapy reduces local recurrences, as shown for other soft tissue sarcomas, while the role of adjuvant chemotherapy is controversial The management of ... problematic because of the rarity of the disease Staging studies include chest, abdominal, and pelvic computed tomography The difficulty of predicting the prognosis and clinical behavior of hemangiopericytomas ... obtained from the patient for publication of this case report and accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this journal Page of 10 11 12...

Ngày tải lên: 21/06/2014, 04:20

... the presence of osteomyelitis and gas in the soft tissues Osteomyelitis was noted in this case; however, the soft tissue gas is much more prominent (Figure 3) The presence of gas on xray of the ... in the ED evaluation of these wounds to rule out the diagnosis of soft tissue infections, as well as osteomyelitis The management of gas gangrene requires rapid recognition and immediate therapy ... reviewed the literature and provided authorship of the text of this manuscript Cooney and Cooney International Journal of Emergency Medicine 2011, 4:14 http://www.intjem.com/content/4/1/14 Page of...

Ngày tải lên: 21/06/2014, 04:20

... significant dilation beyond these limits [8] Our own case reveals a 26-cm dilation of the colon without evidence of perforation or ischemia Despite the massive dilation of the colon, the patient suffered ... CT image of the pseudo-obstruction and severely dilated colon Page of Cooney and Cooney International Journal of Emergency Medicine 2011, 4:15 http://www.intjem.com/content/4/1/15 Page of Figure ... thereby inducing normal defecation Disruption of the parasympathetic system or innervation of the sympathetic system will disrupt normal bowel function There are many conditions and interventions...

Ngày tải lên: 21/06/2014, 04:20

... Journal of Emergency Medicine 2011, 4:16 http://www.intjem.com/content/4/1/16 Page of Table Comparison between the group of the Faculty of Health Sciences and the group of the Faculty of Medicine ... approved by the deans of all four faculties, who were informed about the results at the end of the study and were advised of a concrete plan of action to improve the BLS knowledge of their students ... http://www.intjem.com/content/4/1/16 to practice many skills There was nevertheless a consistent desire for more time to practice In the curriculum of first year students at the Faculty of Medicine and the Faculty of Health...

Ngày tải lên: 21/06/2014, 04:20

... demonstrating a solid mass lying to the left of the aorta (Figure 1) Contrast was seen extending to the level of the mass but not below Arterial phase perfusion of both kidneys was reduced ED management ... sensory deficit in the lower extremities, absence of palpable pulses in the lower extremities, and mottling from the waist down [1-3] Severity of symptoms depends on the acuity of onset and time ... disease [1] The main complications of aortic occlusion include ischaemia of the lower limbs [2], as had occurred in this case Ting and Dehdary International Journal of Emergency Medicine 2011,...

Ngày tải lên: 21/06/2014, 04:20

Ngày tải lên: 28/08/2014, 10:15

... Medicine University of Central Florida College of Medicine Orlando, Florida, USA Associate Professor of Emergency Medicine Faculty of Emergency Medicine University of Florida College of Medicine Gainesville, ... to practice the art of emergency medicine Note that regional variations in the provision of emergency care exist The reader should feel free to add to the learning experience by exploring the ... medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines Because of the rapid...

Ngày tải lên: 09/06/2016, 19:24

... Just the Facts in EMERGENCY MEDICINE EDITORS David M Cline, M.D Clinical Associate Professor of Emergency Medicine Department of Emergency Medicine University of North Carolina School of Medicine ... EXAM • The certification exam is given the first week of February each year • Like the ABEM exams, the subject matter of the exam comes from the Emergency Medicine Core American College of Emergency ... takers with emergency medicine residency training and 73 percent for all others Subject matter of the exam is based on the Emergency Medicine Core Content.1 A percentage breakdown of the exam content...

Ngày tải lên: 09/08/2014, 15:20

... REFERENCES FIG 16-4 Anatomic structures of the cheek The course of the parotid duct is deep to a line drawn from the tragus of the ear to the midportion of the upper lip Singer AJ, Hollander JE, ... disrupt the entire sympathetic chain Injuries between T1 to L3 may result in partial sympathetic disruption; the lower the injury, the less effects on the sympathetic nervous system • The symptoms of ... at another facility 93 percent of the time and were later successful at obtaining narcotics from the same facility 71 percent of the time.11 CLINICAL FEATURES • Because of the spectrum of drug-seeking...

Ngày tải lên: 09/08/2014, 15:20

... superior segment of the lower lobe of the lung, the renal cortex, the meninges, the epiphyses of long bones, and the vertebrae.3 CLINICAL FEATURES For further reading in Emergency Medicine: A Comprehensive ... DVT.2 The primary objective in treating DVT is the prevention of pulmonary embolism The mainstay of therapy is anticoagulation In the setting of ultrasound-documented proximal DVT with other complications, ... in either arm, the neck, the shoulders, or the back Heartburn is the classic symptom of GERD, and chest discomfort may be the sole manifestation of the disease The association of pain with meals,...

Ngày tải lên: 09/08/2014, 15:20

... columnar epithelium and connect with the nasopharynx via narrow ostia • Resistance to infection depends on the patency of the ostia, the function of the ciliary mechanism, and the quality of the secretions ... associated with abuse is the chip fracture of the metaphysis The tight attachment of the periosteum to the metaphysis will cause avulsion of little chips of the bone with pulling There is exuberant ... decline of the sodium level is sometimes indicative of developing cerebral edema Management of potassium abnormalities are critical to the care of DKA patients Because of the shift of potassium to the...

Ngày tải lên: 09/08/2014, 15:20