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Archives for 2012
Knee Effusion
From an amazing piece by Teresa Wu in EP Monthly: Bend the knee and scan in long just under the patella
Bath Salts
This class of drugs are chemically altered hallucinogenic stimulants. Depending on which chemical is used in the salts, the patient can look like they took meth or ecstasy. They will present with a sympathomimetic toxidrome including hyperadrenergic vitals and profound hyperthermia. Here is a link to Leon’s Gussow’s bath salt article in EM News. Scott […]
One Night in the ED Online Radiology
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Wilderness Medicine
Keith Conover’s Personal Equipment List
Toxic Shock Syndrome
Toxic Shock Syndrome (TSS) Toxic shock syndrome presents with high fever, rash and hypotension. Prodrome of malaise, low grade fever, myalgias and vomiting. Sx may occur 2-3 days after tampon use, soft tissue infection, or within a week of other inciting factors. Rash is a diffuse, non-pruritic, blanching, macular erythroderma leading to desquamation. Clinical Criteria […]
Le Roux’s Review of Transfusions for SAH
From (Neurocritical Care 2012;16:343) The Risks of Blood Transfusion in Patients with Subarachnoid Hemorrhage: Response to Dr. Paul E. Marik Peter Le Roux and Michael Diringer To the Editor, We read Dr. Marik’s letter with interest. He makes some valuable comments and is correct when he states: more research is needed. We respectfully disagree, however, […]
Aortic Operative Stuff
Posted by: “Dr.Mohamed El Tahan” on Anesthideas However, did your surgeon prepare the bypass machine with extra reservoir !. In reality, as your description this is ATA III post traumatic aortic dissection and massive bleeding is normal. First, i would to clarify this missed point which raised by Dr. Bilal and you, this may […]
Checklists and Cognitive Aids
Implementing Emergency Manuals: Can Cognitive Aids Help Translate Best Practices for Patient Care During Acute Events? A sample The Checklist Project and their Checklist for Checklists
Patient Satisfaction
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ED Thoracotomy
A review of indications and techniques for ED Thoracotomy
Alkalemia – Metabolic and Respiratory Alkalosis
Alkalemia hypokalemia (and sensitization to dig related arrhythmias) reduction of ionized calcium leading to neurologic symptoms Stimulates anaerobic metabolism Metabolic Alkalosis Plasma bicarb>45 seek to lower it to Nasogastric Suction/Vomiting Diuretics-from increased loss of urinary electrolytes and water. Cl loss balanced by reabsorbtion of bicarb, H+ moves into cells to allow eflux of K. Mg […]
Malpractice
On Average, Physicians Spend Nearly 11 Percent Of Their 40-Year Careers With An Open, Unresolved Malpractice Claim Health Aff January 2013 32:1111-119; New York State Medical malpractice actions must be filed within thirty months of the date of the act or omission that gave rise to the injury occurred. For malpractice actions based upon the […]