Some Pain Control Options
WE can use ketamine here for pain control...talk to the nurses before you order it though... it might be misunderstood.
b. Brush solids off of patient prior to irrigation/decontamination with NS or water.
c. NGT aspiration of a caustic is only very, very rarely recommended. In general, it is NOT recommended.
b. Bases/alkalis = liquefactive necrosis (think tissue softening/saponification resulting in deep penetration)
- Tums at home
Case 1 - Post-Operative Pneumoperitoneum and Perforated Marginal Ulcer After Roux-en-Y
Case 2 - Complications of Chronic Suppurative Otitis Media (CSOM)
Important Radiographic Signs to Identify on AP Pelvis/Hip
For Cranial Imaging:
For Cervical Imaging:
For Abdominal Injury:
- A condition in which increased pressure within a limited space leads to compromise to associated structures.
Decreased compartment size (ie, tight casting)
Increased compartment contents (ie, bleeding, edema)
How much time do you have:
- 3-4 hrs you can still have reversible changes.
- 6-8 hours you can have irreversible damage.
- Pain out of porpotion
- Tense compartment
- Pain with passive stretch - but this is more then simply moving the toe... really needs to flex/extend the ankle to see if the compartments of the LE are involved.
- Parasthesia, Pulseless and Pallor are late signs!!
Check Compartment Pressures
- Clinical dx but if unsure check compartment pressures- all 4 compartments
- Suspect Compartment Syndrome, with equivocal or unreliable exam.
- If it is a clear clinical picture, no need to take pressures.
See PedEM Morsel for more.
23 yo with Headache --- and she's Pregnant