Markdown Syntax from Daring Fireball: Markdown Syntax Documentation Inline HTML For any markup that is not covered by Markdown’s syntax, you simply use HTML itself. There’s no need to preface it or delimit it to indicate that you’re switching from Markdown to HTML; you just use the tags. The only restrictions are that block-level HTML […]
Archives for February 2013
Additional Evidence Against Steroids for Spinal Cord Injury
From: trauma-list-bounces@trauma.org on behalf of ecthompson [ecthompson@msn.com] Sent: 19 February 2004 12:27 PM To: ‘Trauma & Critical Care mailing list’ Subject: RE: Changing behavior… As a healthcare worker we all must do what we feel is in the best interest of our patients. We can’t deliver a therapy that we know or feel is harmful. […]
Extracorporeal Removal Techniques in Toxicology
From (J Intensive Care Med 2012;25(3):139) Characteristics of Xenobiotics That Are Cleared by ECR For all 3 techniques Low volume of distribution (Vd; <1 L/kg), that is, not in tissue Single-compartment kinetics Low endogenous clearance (<4 mL/min per kilogram) For hemodialysis MW <500 Da (little data on high-flux membranes) Water soluble No plasma protein binding […]
Supraglottic and Extraglottic Airways (SGAs and EGAs)
LMAs CLINICAL SKILLS FOR THE PREHOSPITAL USE OF THE LMA Similar to the first laryngoscopy,41 the first LMA insertion attempt should be optimized. Is the Correct LMA Size Selected? The LMA Classic is available in six sizes. The manufacturer recommends two size selection criteria: weight based (for adults patients: size 3, 30 to 50 kg, […]
Blind Nasotracheal Intubation
Consider awake BNTI in a predicted difficult airway start with 32 french trumpet anesthetize through it to get post pharynx Use the left nostril or if using the right turn tube 180° Facilitated by neutral head position and ET tube cuff inflation to 15cc. depth is 26-28 cm at nares […]
Central Line Placement
Central Venous Catheters and Central Venous Access Central Lines IJ Lines Go straight through medial portion of lateral head of SCM muscle. (J. Cardio Vasc Anes 8:6) Femorals Higher Infection Rate, Higher Thrombosis Rate than subclavian (French, Prospective Trial JAMA 286:6, 2001 JB ) Study of cath related infection shows Subclav<IJ<Femoral (Intensive Care Medicine Volume […]
Cricothyrotomy
Heard’s CICO algorithm (Anaesthesia 2009;64:601) Cricothyrotomy (Surgical) Stand at pts right (if you are right hand dominant, otherwise reverse all sides) Left hand holds thyroid cartilage with index finger touching membrane. Make a vertical incision from thyroid cartilage to above jugular notch. Make horizontal stab incision through cricothyroid membrane Drop trach hook into incision with […]