Data Trace Editor Emetic for use in drug overdose and certain cases of poisening; Adult: 30 ml PO followed by 200-300 ml water; if no emesis occurs in 20 min, may repeat x 1; Peds: 6-12 months: 5-10 ml PO followed by 100 ml of water; if no emesis in 20 min, may repeat x 1; … Read more
– See: Skin Prep: – Discussion: – 3M™ DuraPrep™ – iodophors need not be removed, since they are less likely to result in skin irration; – iodophors are solutions in which iodine is chemically bound to polyvinylpyrrolidone or a comparable molecule; – they are water soluble, less irritating to skin … Read more
– normally an inspiratory to expiratory time ratio (I/E) of 1:2 is used – inverse I/E is also utilized in ARDS to prevent barotrauma – long sustained inspiration reduces mean airway pressure while increasing the PaO2 for a given FiO2; – despite the benefits in gas exchange, the prolonged inspiratory duration relative to expiration is … Read more
– Discussion: – claw hand deformity is manifested by flattening of the transverse metacarpal arch and longitudinal arches, with hyperextension of MCP joints and flexion of the PIP and DIP joints; – deformity is produced by imbalance of the intrinsic & extrinsics; – intrinsic muscles must be markedly weakened or paralyzed to produce claw deformity; … Read more
– See: – Intrinsic Muscles: – Discussion: – results from intrisic stiffness (contracture); – specific causes: – truama: – posttraumatic intrinsic contractures may occur after severe injuries to hand that have resulted in considerable edema or … Read more
– See: – Dorsal Interossei – Lumbricals: – Palmar Interossei – Hypothenar Eminence: – muscles of hypothenar eminence are abductor, flexor, opponens digiti minimi, & palmaris brevis; – muscles of hypothenar eminence are innervated by ulnar nerve; – Thenar Eminence: … Read more
– See: – Distal Femoral Shaft Fractures – Infected IM nails – Open Fractures – Proximal Femoral Shaft Fractures – Synthes IM Femoral Nail – Discussion: Intramedullary Nailing: – closed IM nailing has supplanted other forms of treatment for femur frx; – it affords predictable realignment of bone, rapid regeneration … Read more
– Discussion: (see IM Nailing of subtrochanteric fractures) – a type of intramedullary device (designed for intertrochanteric and subtrochanteric fractures) which allows controled sliding of the femoral head screw within the IM nail glidign hole; – advantages of IM device: – IM nail with interlocking reconstruction … Read more
– Ender nails introduced in 1970; – nails backing out of the medullary canal – perforation of nails thru the femoral head – external rotational deformity at the fracture site – distal migration – ref: – The use of Ender’s … Read more
– Discussion: – as with all femur fractures be sure that a femoral neck fracture is not present; – Operative Technique: – position: – supine with several folded sheets placed underneath the injured thigh and knee; – the injuried thigh must be … Read more