46 results
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... interruption for at least ... bleeding risk ... a very low bleeding ... Perioperative #Management
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... thromboembolic disease, breast ... endometrial path0100' or breast ... Abnormal #Uterine #Bleeding ... #Management #Obstetrics
Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas
are broken in 2 areas ... #Flail #Chest #PhysicalExam ... respiratory #clinical #video
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if pregnant or breast ... feeding! ... workup choices AND management
Argyll-Robertson Pupil on Physical Exam
Small (myotic), irregular pupil that do not react to light but do
pupil that do not react ... to light but do react ... Robertson #Pupil #PhysicalExam ... #clinical #video ... #neurology #ophthalmology
Afferent Pupillary Defect

An afferent pupillary defect passing through its timeline. The pupil that does not react
that does not react ... Defect #clinical #video ... #neurology #ophthalmology ... #PhysicalExam #
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... Invasive/Surgical Procedures ... surgery (e.g. breast ... • Non-cataract ophthalmologic ... polypectomy) #Bleeding
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
sudden-onset shortness of breath ... neck (shown in video ... travels from these areas ... in subcutaneous areas ... Subcutaneous #Emphysema #PhysicalExam
CREATING A FINGER TOURNIQUET FROM GLOVE

A finger tourniquet can be used to keep the site of
non-bloody during this procedure ... Please do not forget ... Finger #Tourniquet #Bleeding ... #Procedure #Video ... #Clinical #Management
Lateral Canthotomy - Procedure Instructions
1) Identify the lateral canthus.
Cleanse the area with antiseptic and anesthetize with
Lateral Canthotomy - Procedure ... devascularize and reduce bleeding ... Lateral #Canthotomy #Procedure ... #Instructions #Management ... #Ophthalmology