Medical Malpractice Insurance for orthopaedic surgeons

Assessment of Perfusion: Damage Control Orthopaedics

– Discussion:          – trauma workup                  – bleeding from pelvic fractures          – lethal triad: metabolic acidosis (base deficit or serum lactate), hypothermia, and coagulopathy          – assessment of shock:                  – metabolic acidosis:  base deficit and serum lactate                  – contraindications for non emergent orthopaedic surgery:                           – following all can indicate occult … Read more

Dantrolene Na/Dantrium

– Discussion:     – for treatment of clinical spasticity resulting from upper motor neuron disorders such as spinal cord injuries, strokes, cerebral palsy, or multiple sclerosis;     – treatment of Malignant Hyperthermia crisis; is a skeletal muscle relaxant;     – skeletal muscle relaxant: beginning at 25 mg PO qd, titrate to effect … Read more

Daptomycin

Discussion:                           – Clinical Experience with Daptomycin Treatment of Foot or Ankle Osteomyelitis: A Preliminary Study.                           – Long-term use of daptomycin for MRSA osteomyelitis and joint infection.                           – Uncertain efficacy of daptomycin for prosthetic joint infections: a prospective case series.                             – Clinical experience with daptomycin for the treatment of patients with knee … Read more

CYANOCOBALAMIN/B12/

for pernicious anemia and other deficiency states; adult: 100ug IM or SC qd for 5-10 days then 100-200ug IM monthly; peds: 100 ug qid IM or deep SC over 2 weeks for a total dose of 1-5 mg then 60 ug IM or SC monthly; injections supplied as: 30 ug/ml, 100 ug/ml, 1000 ug/ml References … Read more

CYCLIZINE (MAREZINE)

Indications for prevention and treatment of N, V, and motion sickness; antihistamine; anticholinergic and Sedative side effects are common; Adult: 50 mg PO 30 min prior to travel; may repeat q4-6hr to max dose of 200 mg/day; 50 mg IM q4-6hr; Peds: 6-12yrs: 25 mg PO upto tid; Supplied: Tabs 50mg; Injection 50 mg/ml

Cyclizine/Marezine

for prevention and treatment of nausea, vomiting, and dizziness of motion sickness; Antihistamine; Adult: 50mg PO 30min prior to travel; may repeat q4-6hr to max dose of 200mg/day; 50mg IM q4-6hr; anticholinergic and sedative side effects are common

Cyclo-oxigenase

– Discussion:     – aspirin & other nonsteroidal antiinflammatory drugs block biosynthesis of prostaglandins and thromboxane A(sub 2) by inhibiting             cyclooxygenase enzyme;     – ASA covalently acetylates cyclooxygenase, inhibiting it irreversibly, whereas other NSAIDs act reversibly on the cyclooxygenase

Cyclobenzaprine/Flexeril

– Adjunct to rest and physical therapy for relief of muscle spasm associated w/ acute painful musculoskeletal conditions; CNS relief of muscle spasm; – Adult: 10mg PO tid; Do not use for longer than 2-3 weeks; sedative and anticholinergic properties; – Contraindicated with MAOI use, Tricyclics, during acute recovery from MI, – Contra w/ hyperthyroidism, CHF, dysrhythmias, … Read more