Data Trace Editor – 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: – 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
– 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: – 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: – 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
– for HTN; – Adult: 1mg/24hr at HS initially; increase by 1mg/24hr increments at 3-4 week intervals; max dose 3mg/24hr; – Precuations: – sedation, drowsiness common; – rebound hypertensionmay occur with abrupt cessation of therapy
for HTN; – Adult: – initially 10mg/24hr PO; – increase by 12.5mg/24 hr q5-7 days to 100mg/24 hr; – max dose of 300mg/24hr based on response; – Peds: 0.2 mg/kg/24hr PO initially; increase by 0.2 mg/kg/24hr increments q7-10 days; max dose of 3 mg/kg/24hr; – Precautions: – beware may produce profound orthostatic hypotension, esp w/ … 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
– 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
– 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