JUST THE FACTS IN EMERGENCY MEDICINE - PART 2 ppt

... refractory toIV 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 ... 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:...

JUST THE FACTS IN EMERGENCY MEDICINE - PART 1 ppt

... Emergency Medicine (ABEM) administers three written exams eachyear: the Certiﬁcation Exam, the RecertiﬁcationExam, and the In- Training Exam. For the mostup-to-date information concerning these ... hyper-kalemic response in emergency department patients re-ceiving succinylcholine. Acad Emerg Med 2: 974, 1995.8. Ward KR, Yealy DM: End-tidal carbon dioxide monitor-ing in emergency medicine: ... and 0. 42 s, it does 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...

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 ... CI)Right-lower-quadrant pain 0.81 0.53 7.31–8.46† 0–0 .28 †Rigidity 0 .27 0.83 3.76 (2. 96–4.78) 0. 82 (0.79–0.85)Migration 0.64 0. 82 3.18 (2. 41–4 .21 ) 0.50 (0. 42 0.59)Pain before vomiting‡ 1.00 0.64 2. 76 ... anddiscontinued, as there is no evidence that main-tenance dosages of steroids reduce the inci-dence of relapses. 2. Sulfasalazine 1.5 to 2 g/d is inferior to steroids in treating acute attacks...

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 ... Ravindranath T, Janakiraman N, Harris V: Computedtomography in diagnosing retropharyngeal abscess in chil-dren. Clin Pediatr 32: 2 42, 1993.For further reading in Emergency Medicine: A Com-prehensive ... 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...

JUST THE FACTS IN EMERGENCY MEDICINE - PART 6 doc

... and animal associated infec-tions, in Brillman CJ, Quenzer RW (eds): Infectious Dis-eases in Emergency Medicine, 2d ed. Philadelphia, Lip-pincott-Raven, 1998, pp 20 9 22 9. 2. Hart CA, Trees AJ, ... increasing, with 20 re-ported emergency department (ED) visits in 19 92 and 629 in 1996. The majority of visits involvedCHAPTER 95•SOFT TISSUE INFECTIONS 303bridement, hyperbaric oxygen therapy, ... 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...

JUST THE FACTS IN EMERGENCY MEDICINE - PART 7 doc

... Dimercaprol (BAL)3 to 5 mg/kg intramuscularly (IM) every 4 h andCaNa2-EDTA 1500 Ȑg/m 2 every 24 h by continu-ous intravenous infusion beginning4hafter the ini-tial BALdoseare the standardagents.Radiopaquelead ... Lacrimation, Urination, Defecation,Gastrointestinal, and Emesis).• Consumption of psilocybin- and psilocin-con-taining mushrooms produce visual hallucinationsand euphoria within2hofingestion.DIAGNOSIS ... high-altitude exposure in the elderly: The Tenth MountainDivision Study. Circulation 96: 122 4, 1997.4. Hackett PH, Roach RC: High-altitude medicine, in Auer-bach PA (ed): Wilderness Medicine, ...

JUST THE FACTS IN EMERGENCY MEDICINE - PART 8 pot

... Electroencephalographicmonitoring in the emergency department. Emerg MedClin North Am 12: 1089, 1994.For further reading in Emergency Medicine: A Com-prehensive Study Guide, 5th ed., see Chap. 22 4,‘‘Seizures ... nationwide survey of prob-lems in long-standing poliomyelitis. Spinal Cord 36 :28 0,1998.For further reading in Emergency Medicine: A Com-prehensive Study Guide, 5th ed., see Chap. 22 6,‘‘Chronic Neurologic ... small celllung carcinoma, primary and metastatic brain can-CHAPTER 1 42 •VERTIGO AND DIZZINESS 433placed in the supine, head-hanging position of the Dix-Hallpike maneuver. 2 The nystagmus reversestorsional...

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 ... 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 ... 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...

JUST THE FACTS IN EMERGENCY MEDICINE - PART 10 pot

... features, 22 1diagnosis and differential, 22 1 emergency department care and disposition, 22 1 22 2, 22 2tepidemiology, 22 1overview, 22 1pathophysiology, 22 1Otitis media with effusion (OME)clinical ... rosea, 26 3viral infectionsenteroviruses, 26 0 26 1erythema infectiosum, 26 1infectious mononucleosis, 26 1measles, 26 1roseola infantum, 26 2rubella, 26 1 26 2varicella (chicken pox), 26 2, 26 2fExfoliative ... imaging, 20 3domestic violence, 20 3drug use, 20 2t, 20 3dysrhythmias, 20 0 20 1HIV infection, 20 2 20 3hyperthyroidism, 20 0 in ammatory bowel disease, 20 1migraine, 20 1seizure disorders, 20 1 20 2sickle...

Chapter 064. The Practice of Genetics in Clinical Medicine (Part 2) pptx

... prevalent disorders. Pending further advances in genetic testing, the key to assessing the inherited risk for common adult-onset diseases rests in the collection and interpretation of a detailed ... mutations would greatly impact the cost of testing without significantly influencing the effectiveness of mass screening. Nevertheless, the individual who carries one of the less common cystic fibrosis–associated ... disease-related mutations. The American College of Medical Genetics recommends a panel of 23 alleles, including the ∆F508 allele, for routine diagnostic and carrier testing. Analysis for the...

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