Data Trace Editor – Discussion: – firearms tutorial – missile characteristics: – NRA website – Weapons Effects and Parachute Injuries – Shooting Soldiers: Civil War Medical Images, Memory, and Identity in America – General Management: – most important issue is to get the correct diagnosis (no viceral injury, no compartment syndrome, no … Read more
– Discussion: – common shapes includes round nose, wadcutter, and semi-wad cutter; – missile velocity: – high velocity: – greater than 2000-2500 ft/sec; – M16 travels at 3250 ft/sec; … Read more
– Discussion: – bullets in soft tissue are rapidily encapsulated by fibrous tissue and are therefore essentially eliminated from circulating body fluids; – where as serum is a poor solvent and bullets that are in joints are more threatening because of their contact with synovial fluid combined with joint motion, will … Read more
– Discussion: – general discussion of GSW: – care of the spine injured patient: – stability: – most gun shot wounds to the spine are stable, and therefore do not require operative stabilization; – indications for bullet removal: … Read more
– See: Open Fractures of the Tibia: – Discussion: – Gustillo classification describes soft tissue injury, but does not necessarily describe fracture comminution; – Grade I: – wound less than 1 cm w/ minimal soft tissue injury; – wound bed is clean … Read more
– Discussion: – historically has been the most common cause of infection in children between 3 months and 3 years of age; – currently infections due to this organism have decreased due to widespread use of a vaccine; – in the study by Peltola H, et … Read more
– Blood Product Menu: – pRBCs / Fresh Frozen Plasma / Platlets / Cryoprecipitate / Transfusion Therapy / Coag Pathway – Discussion: – The 1988 NIH Consensus Conference on Perioperative Red Blood Cell Transfusions suggested that no single criterion should be used as an indication for red cell component therapy and that multiple factors related to … Read more
– Discussion: – expectorant & cough supression; – syrup:10ml dose; 5 ml = 100mg guiafenesin/15mg dextromethorphan; – Peds: >12 yrs: same as adult; 6-11 yrs: 100-200 mg (5-10ml) PO q4hr; 2-5 yrs: 50-100 mg (2.5-5 ml) PO q4hr; Supplied: Tabs: 100mg, 200mg; Caps: 200mg; Syrup 67 mg/5ml, 100 mg/ml
– for HTN; – central alpha agonist, – similar to clonidine; – Adult: – begin 4mg PO bid, increase by 4mg/day increments at 1 week intervals up to 32mg bid as needed; – sedation, dry mouth, dizziness, HA, all are common; Peds: >12 yrs: 0.5-4 mg/day initially; increase by increments of 0.5-2.0 mg/day at 1 … Read more
– For HTN; – Peripheral adrenergic neuron inhibitor – Adult: 5mg PO bid initially & increase up to 10mg/day increments at 1 weeks intervals up to 75mg PO bid; – Precautions: – interactions with tricyclic antidepressants; there is less orthostatic changes and impotence than guanethidine