-- clamp with hemostat for 2 minutes;
-- using crush mark from hemostat;
-- perform lateral canthotomy with scissors perpendicularly
-- dissect inferiorly and snip the inferior crus of the lateral canthal tendon
-- recheck IOP after procedure
I. Characteristics of respiratory artifact
II. The clinical significance of respiratory artifact
III. Respiratory artifact can aid in the recognition of sleep-disordered breathing
b. an abrupt increase in heart rate and the
c. simultaneous appearance of very fast RA
b. simultaneously occurring very long respiratory (snoring) artifact followed by
c. a sudden increase in the heart rate and resolution of the RA
b. the onset of most periods which contain the RAs show the characteristics of central sleep apnea
1. CVA is the most common cause of seziures and secondary epilepsy in adults.
2. Blood in the brain is BAD for seizures (ICH and even more so with cerebral infarction with hemorrhagic transformation).
3. In patient's with early-onset (< 30 days) or late-onset (> 30 days) seizures after CVA consider consulting neurology for EEG or initiation of AEDs.
Missed ACS/Physician Wellness:
1. Keep a broad differential for hypotension, especially in the diabetic population.
2. Appreciate the affect of stress and poor patient outcomes on you as a provider.
3. Develop strategies for managing stress and proactively addressing your own well-being.