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.
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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:
Compartment Syndrome
- A condition in which increased pressure within a limited space leads to compromise to associated structures. Caused by: 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. Dx - 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 PreEclampsia
Catecholamine-Secreting Tumors
Swollen Leg Phlegmasia
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