Data Trace Editor – See: – Exam for Spinal Cord Injury – Head Injury – Neuro Exam Menu – C-spine (initial care): – ensure that patient has adequate C-spine immobilization; – a standard backboard is unsuitable in children since it places the head into extension (pediatric … Read more
– serum glucose qhr – if there is not a 10% drop in serum glucose after 2 hrs: – double Insulin dose qhr until a response occurs – after glucose falls below 250 mg/dl, begin D5W – avoid Hypoglycemia – bicarbonate if pH < 7.1; max < 100 mEq/hr; – check serum K+ qhr, anticipate … Read more
– ABG – Bronchospasm – Clinical Conditions – Criteria for Intubation – Criteria for Extubation – COPD – Fat Embolism Syndrome – Inverse … Read more
– Discussion: – by definition, invovles RTC tears of more than 5 cm and involves more than than one tendon; – further, massive tears cannot be repaired w/o excessive tension after lysis cuff adhesions and release of the coracohumeral ligament; (see cuff mobilization) – Management: … Read more
– See: – meniscal injury – anterior cruciate ligament: – evaluation of ACL injuries: – bone patellar bone reconstruction: – hamstring reconstruction: – allograft reconstruction: – Discussion: … Read more
– See: – DKA – Sliding Scale – Hypoglycemic Agent
– Urine Studies – Check: Urea, Cr – d/c all K supplements `til diuresis occurs – Ensure adequate Volume Replacement: * If Hypovolemic then IV NS; – If CHF is present, then Diuretics are required; – Differential Dx: – Fluid and Electrolyte depletion … Read more
– See: – deep venous thrombosis / respiratory failure – Discussion: – time range of diagnosis of PE following discharge: 14-68 days (JR Lieberman et al); – ref: Early pulmonary embolism after injury: A different clinical entity? – in the report by Lawton RL and Morrey BF (1999), the authors advise that patients … Read more
– General Orders for the Renal Failure Patient – Renal Trauma / Urogenital Trauma – Fluids Electrolytes and Nutrition – Renal / Dialysis – Hematology – Neuro – MSK – ID: frequent UA and UCx to rule out infection, esp w/ foley; … Read more
References for Pneumonia: Concepts in Emergency and Critical Care: Ventilator-Associated Pneumonia. A Multivariate Analysis. Increased incidence of nosocomial pneumonia in mechanically ventilated patients with subclinical aspiration. Role of gastric colonization in the development of pneumonia in critically ill trauma patients: results of a prospective randomized trial. Continuous lateral rotational therapy and nosocomial pneumonia. Enteral hyperalimentation as a source of … Read more