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LITFL • Life in the Fast Lane
Targeted temperature management (TTM) after cardiac arrest. James Pearlman and Chris Nickson. May 10, 2022. Targeted temperature management (TTM) refers to strict temperature control following out-of-hospital cardiac arrest (OHCA). Current evidence = Normothermia and actively treat fevers.
Litfl.comDA: 9 PA: 9 MOZ Rank: 10
Hypertensive emergency - WikEM
Does not impair cerebral flow. Variable response. 1. Used in patients at risk for cerebral hypotension, CHF. 2. Avoid in pregnancy. Clonidine. 0.1 - 0.3 mg PO q12 scheduled; For hypertensive emergency, 0.2 mg x1, then 0.1 mg q1 hr PRN, max 0.6 mg total. α-2 agonist, BP effects within 30-60 min after PO dose.
Wikem.orgDA: 9 PA: 28 MOZ Rank: 38
Phalanx Dislocations - Hand - Orthobullets
Phalanx Dislocations are common traumatic injury of the hand involving the proximal interphalangeal joint (PIP) or distal interphalangeal joint (DIP). Diagnosis can be made clinically and are confirmed with orthogonal radiographs. Treatment is closed reduction and splinting unless volar plate entrapment blocks reduction or a concomitant ...
Orthobullets.comDA: 20 PA: 31 MOZ Rank: 53
Diplopia - WikEM
Diplopia & trauma. Fracture causing CN disruption. CT head without contrast. Diplopia & multiple CN involvement & numbness over CN5 (Unilateral, decreased visual acuity) Orbital apex pathology. CT orbits with contrast. Diplopia & multiple CN involvement & numbness over CN5 (Uni- or bilateral, normal visual acuity)
Wikem.orgDA: 9 PA: 14 MOZ Rank: 26
Thrombocytopenia - EMCrit Project
Evaluate for petechiae or purpura (especially on the legs, around the blood pressure cuff, and in the mouth). ( 31269407) Substantial petechiae/purpura has several implications: (1) This supports that the thrombocytopenia is real (not spurious). (2) This argues against processes which promote thrombosis (e.g., HIT).
Emcrit.orgDA: 10 PA: 23 MOZ Rank: 37
life in the fast lane
Birth of a Blog!! Hi! Welcome to my first blog! I really don't know what I'm a gonna do with it, have you got any suggestions (nothing rude!)
Litfl.blogspot.comDA: 18 PA: 18 MOZ Rank: 24
Five ECG Patterns You Must Know - REBEL EM
Wellens Type B (Image From LITFL Blog) Posterior Wall AMI. Concerning for occlusion of either distal left circumflex artery or PDA of right coronary artery; If you see STD in leads V1 – V3, the next thing to do is get a posterior ECG with leads V7 – V9 to help differentiate posterior AMI vs Anterior Ischemia; Look for: Horizontal (flat) ST-Depression in leads V1 – V3; …
Rebelem.comDA: 11 PA: 33 MOZ Rank: 50
S1Q3T3, Do You Know What It Actually Means? - Ditch Doc EM
For the sake of brevity, though, here are some critical facts that every provider should know. The S1Q3T3 pattern describes the presence of an S wave in lead I, a Q wave in lead III, and an inverted T wave in lead III. This pattern was first described by McGinn and White in 1935, and is fairly well known as an indication of acute pulmonary ...
Ditchdocem.comDA: 18 PA: 25 MOZ Rank: 50
Emergency Ring Removal | Ring Removal Methods | Esslinger.com ...
Method 4. For this method you need to recognize that your fingers seem smaller when they are cold. Get a bowl that is large enough for you to fit your hand in. Fill it with enough ice water so that the finger that the ring is stuck on will be completely submerged. Keep your hand in the ice water for a few minutes and allow the water to reduce ...
Blog.esslinger.comDA: 18 PA: 36 MOZ Rank: 62
A Systematic Approach to Interpreting a 12 Lead ECG
Q wave: A q wave is not always noted on every 12 lead ECG.But if it does occur, its the first negative deflection before the R wave in the QRS complex. You can sometimes see them in the lateral leads (I, aVL, V5 and V6).
Scopeducation.trainingDA: 22 PA: 50 MOZ Rank: 84
Trick of the Trade: Extra-oral reduction technique of anterior …
Trick of the Trade: Extra-Oral Reduction Technique for Anterior Mandible Dislocation. Place the patient in either sitting or supine position. The provider should stand in front of the patient. The provider places their thumb on the patient’s cheek, on the mandibular ramus and coronoid process of the dislocated mandible, and applies persistent ...
Aliem.comDA: 13 PA: 50 MOZ Rank: 40
Tympanic Membrane Perforation - FPnotebook.com
Ontology: Tympanic Membrane Perforation (C0206504) Definition (MSHCZE) Dočasný nebo trvalý otvor v ušním bubínku (MEMBRANA TYMPANI). Klinické příznaky závisejí na velikosti, umístění a dalších patologických okolnostech. Definition (MSH) A temporary or persistent opening in the eardrum (TYMPANIC MEMBRANE).
Fpnotebook.comDA: 14 PA: 30 MOZ Rank: 55
RACGP - Acute scrotal pain
Investigation and treatment. Colour Doppler sonography is indicated in equivocal cases, but has operator-dependent factors that can cause variances in sensitivity (86–100%) and specificity (95–100%). 3,8–10 Importantly, a normal investigation does not rule out testicular torsion if history and examination indicate otherwise. In children, the use of ultrasonography should not delay ...
Racgp.org.auDA: 16 PA: 38 MOZ Rank: 66
ECG in left ventricular hypertrophy (LVH): criteria and implications
Figure 1. ECG changes seen in left ventricular hypertrophy (LVH) and right ventricular hypertrophy (RVH). The electrical vector of the left ventricle is enhanced in LVH, which results in large R-waves in left-sided leads (V5, V6, aVL and I) and deep S-waves in right-sided chest leads (V1, V2). Right ventricular hypertrophy causes large R-waves ...
Ecgwaves.comDA: 12 PA: 50 MOZ Rank: 94
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App.feedpress.comDA: 17 PA: 13 MOZ Rank: 44
Urolithiasis – Ten things every general practitioner should know
Urolithiasis, or urinary tract stones, is the aggregation of crystals in the urine, most commonly composed of calcium oxalate. 1 Urinary tract stones are responsible for renal colic, which is the most common symptomatic presentation of urolithiasis. The formation of calculi in the upper urinary tract is a problem that places a considerable ...
Racgp.org.auDA: 16 PA: 33 MOZ Rank: 64
Paediatric c-spine injuries - Don't Forget the Bubbles
A 14 year old male presents to your Emergency Department by private car with neck pain following a failed back-flip whilst playing on the family trampoline at home.. You are approached by the Triage Nurse to ‘try and clear his neck’ so he can avoid a spinal collar and the unnecessary use of a bed.So you head over to see the patient…
Dontforgetthebubbles.comDA: 24 PA: 29 MOZ Rank: 69
Clinical Practice Guidelines : Femoral Nerve Block
Prepare ultrasound machine. Correct probe. Position opposite side of bed from block sign. Gel onto probe with cover/large tegaderm applied after. Prepare dressing pack with local anaesthetic, appropriate needle, low pressure tubing. Clean area and drape appropriately especially medially.
Rch.org.auDA: 14 PA: 50 MOZ Rank: 82
STEMI Equivalents: Can't-Miss Patterns EMRA
A posterior ECG should be obtained, and STE ≥ 0.5 mm (≥ 1 mm in men < 40 years) in V7, V8, or V9 is diagnostic of a posterior MI. Note that the absence of elevations in the posterior leads does not exclude a posterior MI. Suggested occlusion: LCx or RCA. Inferior MI with STD in V1-V3 suggesting concurrent posterior MI.
Emra.orgDA: 12 PA: 38 MOZ Rank: 68
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