... board approval The journals reviewed included Annals ofEmergency Medicine, Academic Emergency Medicine, the American Journal ofEmergency Medicine, and the Journal ofEmergencyMedicine from ... and Health Sciences, Bethesda, MD, USA 2The Department ofEmergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA, and The Division ofEmergency Medicine, Stellenbosch ... Africa 3The Department of Military and Emergency Medicine, Uniformed Services University ofthe Health Sciences, Bethesda, MD, USA, and the Division ofEmergency Medicine, University of Texas...
... book is the closest thing to the everyday practiceofemergencymedicine that you can do, at home, in the comfort of your favorite easy chair A.M.O.H The Gist ofEmergencyMedicine - the management ... Published by Adam Hebb The Gist ofEmergencyMedicine Table of Contents PREFACE AND ACKNOWLEDGMENTS THE MNEMONIC AND THE PREAMBLE THE MANAGEMENT GUIDE 26 THE SHORT FORM OFTHE MANAGEMENT GUIDE ... anticipate and show the appropriate concern for the psychological, the sociological, and the economic needs† ofthe patient, the relatives, and the significant others Refer to the patient by name...
... 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 ofthe time The Gist ofEmergencyMedicine ... therapeutics) The Gist ofEmergencyMedicine 56 The Short form ofthe Management Guide (1) The initial description ofthe patient, and the vital signs as supplied by the examiner (are the vital signs ... patients, thepracticeofthe 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...
... only at rest due to the vagal effects of digitalis Cardiac Arrhythmias and ACLS Drugs The Gist ofEmergencyMedicine 66 → Atrial fibrillation of recent onset → alternate therapy (personal communication ... ACLS Drugs The Gist ofEmergencyMedicine 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 ofthe medial third ofthe inguinal ligament Femoral vein → just medial to the femoral artery Distal saphenous vein → just anterior to the medial malleolus Basilic...
... treat other problems, e.g pancreatitis, alcohol ± other drug withdrawal Endocrinology and Hematology The Gist ofEmergencyMedicine 118 (4) Lactic acidosis → hyperventilation, weakness, otherwise ... Endocrinology and Hematology The Gist ofEmergencyMedicine Endocrinology and Hematology 124 The Gist ofEmergencyMedicine 125 XII CENTRAL NERVOUS SYSTEM (SECOND OF TWO SECTIONS) → See also ... recently been described Central Nervous System (second of two sections) The Gist ofEmergencyMedicine 126 → Other examples of non-narcotic L of migraine are: ASA, Tylenol®, NSAIDs, gravol®, ergotamine...
... Fournier’s gangrene Infections The Gist ofEmergencyMedicine 139 → There is a preliminary report of a possible association between chickenpox, ibuprofen, and this severe form of streptococcal infection ... unsure ofthe 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 ofEmergencyMedicine ...
... descent, HBO2? Environmental Injuries The Gist ofEmergencyMedicine 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 ofEmergencyMedicine 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...
... 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 ofthe ... output, lasix prn, mannitol prn, dialysis prn Alkalination ofthe urine increases the solubility of myoglobulin Trauma The Gist ofEmergencyMedicine 174 Testicular contusion or rupture? → ultrasound, ... dislocation ofthe scaphoid, isolated scaphoid fracture, fractures ofthe middle phalanges or metacarpals with rotation, fracture ofthe proximal phalanges, and volar plate injuries (refer all of the...
... Ivatury AA: The position ofthe Eastern Association for the Surgery of Trauma on the future of trauma surgery J Trauma 2005, 59:77-79 Institute ofMedicineEmergency medical services at the crossroads ... [7] The role ofthe 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 ofthe arrival ofthe 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...
... 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 ofthe rarity ofthe 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 ofthe written consent is available for review by the Editor-in-Chief of this journal Page of 10 11 12...
... 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 ofthe ... 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 ofthe text of this manuscript Cooney and Cooney International Journal ofEmergencyMedicine 2011, 4:14 http://www.intjem.com/content/4/1/14 Page of...
... significant dilation beyond these limits [8] Our own case reveals a 26-cm dilation ofthe colon without evidence of perforation or ischemia Despite the massive dilation ofthe colon, the patient suffered ... CT image ofthe pseudo-obstruction and severely dilated colon Page of Cooney and Cooney International Journal ofEmergencyMedicine 2011, 4:15 http://www.intjem.com/content/4/1/15 Page of Figure ... thereby inducing normal defecation Disruption ofthe parasympathetic system or innervation ofthe sympathetic system will disrupt normal bowel function There are many conditions and interventions...
... Journal ofEmergencyMedicine 2011, 4:16 http://www.intjem.com/content/4/1/16 Page of Table Comparison between the group ofthe Faculty of Health Sciences and the group ofthe Faculty ofMedicine ... approved by the deans of all four faculties, who were informed about the results at the end ofthe 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 ofMedicine and the Faculty of Health...
... demonstrating a solid mass lying to the left ofthe aorta (Figure 1) Contrast was seen extending to the level ofthe 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 ofthe lower limbs [2], as had occurred in this case Ting and Dehdary International Journal ofEmergencyMedicine 2011,...
... Medicine University of Central Florida College ofMedicine Orlando, Florida, USA Associate Professor ofEmergencyMedicine Faculty ofEmergencyMedicine University of Florida College ofMedicine Gainesville, ... to practicethe art ofemergencymedicine Note that regional variations in the provision ofemergency 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 ofthe patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines Because ofthe rapid...
... Just the Facts in EMERGENCYMEDICINE EDITORS David M Cline, M.D Clinical Associate Professor ofEmergencyMedicine Department ofEmergencyMedicine University of North Carolina School ofMedicine ... EXAM • The certification exam is given the first week of February each year • Like the ABEM exams, the subject matter ofthe exam comes from theEmergencyMedicine Core American College ofEmergency ... takers with emergencymedicine residency training and 73 percent for all others Subject matter ofthe exam is based on theEmergencyMedicine Core Content.1 A percentage breakdown ofthe exam content...
... REFERENCES FIG 16-4 Anatomic structures ofthe cheek The course ofthe parotid duct is deep to a line drawn from the tragus ofthe ear to the midportion ofthe 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 ofthe time and were later successful at obtaining narcotics from the same facility 71 percent ofthe time.11 CLINICAL FEATURES • Because ofthe spectrum of drug-seeking...
... superior segment ofthe lower lobe ofthe 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 ofthe disease The association of pain with meals,...
... columnar epithelium and connect with the nasopharynx via narrow ostia • Resistance to infection depends on the patency ofthe ostia, the function ofthe ciliary mechanism, and the quality ofthe secretions ... associated with abuse is the chip fracture ofthe metaphysis The tight attachment ofthe periosteum to the metaphysis will cause avulsion of little chips ofthe bone with pulling There is exuberant ... decline ofthe sodium level is sometimes indicative of developing cerebral edema Management of potassium abnormalities are critical to the care of DKA patients Because ofthe shift of potassium to the...