13 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
of Electrical Injury ... ED arrival MSK ... posterior shoulder - AC ... especially with AC ... Evaluation #Diagnosis #Management
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
Acromioclavicular (AC ... Scan over AC joint ... AC joint septic ... AC joint septic ... clinical #ultrasound #MSK
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
acute cardiac injury ... VF, Myocardial injury ... agent, steroids, AC ... Myocarditis #diagnosis #management
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
ventilator-induced lung injury ... Blood drains - venous ... arterial system Veno-Venous ... oxygenator • Assess perfusion ... #ECMO #Basics #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... 1) or anatomic shunt ... Arterial blood gas (ABC ... SpO2 > 88% • Management ... syndrome #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... or spinal cord injury ... Mechanical (impaired venous ... Types #diagnosis #management
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
point where tissue perfusion ... • Initial Management ... does not improve venous ... after an acute injury ... of spinal cord injury
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... or spinal cord injury ... Mechanical (impaired venous ... types #diagnosis #management
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
70 mmHg on 100% mask ... Protection, Inhalation injury ... or spinal cord injury ... MV < 10L/min, Shunt ... /500mL NS) IV Infusion
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC ... indication of AC ... medical and surgical management