@drk188286 on GrepMed

Lung Herniation with Coughing Dr. Gopalan Rajesh @DrRajeshG1 #Lung #Herniation #Hernia #Sibsons #Cough #clinical #video #thoracic #physicalexam #pulmonary

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Patellar Fracture Injury - Patellar Rupture caught in real-time during an MMA match. #Patellar #Fracture #Injury #clinical #video #Rupture #sports #orthopedics #msk #knee #kneecap

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Resuscitative Hysterotomy - Procedure Instructions When? ASAP. Within 4 minutes when possible. Who? Pregnant patient with uterus above umbilicus. Why? To increase chance of maternal survival. 1) Cardiac Arrest Management • Call for help: ICU, 0B • Compressions, Airway, Defib early • Use hands to cup uterus up and to left • IV above diaphragm 2) Gather Supplies • Chlorhexidine, Sterile gloves & towels. • Scalpel, Scissors • Umbilical Clamps 3) Cut Abdomen • Scalpel: Midline Incision Umbilicus - Pubic symphysis • Fingers: Bluntly separate rectus muscles down middle • Scissors or Fingers: Bluntly open peritoneum 4) Cut Uterus • Scalpel: Small incision lower end of uterus • Insert Fingers, lift uterus wall away from infant • Scissors: Cut uterus to fundus 5) Deliver • Push head out, then body. Apply fundal pressure PRN. • Clamp & cut cord → NRP. • Deliver placenta. 6) Continue Maternal Care • Compressions + Consider Reversible • If ROSC: prepare to manage PPH, temporarily pack abdomen. Dr. Sarah Foohey @SarahFoohey #Resuscitative #Hysterotomy #Procedure #Instructions #checklist #obstetrics #emergency

Remitting Seronegative Symmetrical Synovitis Pitting tenosynovitis. Pink hands also. Hint: pink hands may not be related to her hand swelling. Dr. Janet Pope @Janetbirdope #Remitting #Seronegative #Symmetrical #Synovitis #Pitting #Edema #clinical #video #rheumatology

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Medial Approach Knee Intra-articular Corticosteroid Injection Landmark 1/3 to 1/2 way from top of patella. Find space under patella in that area to inject and keep needle / syringe angle low. Ex 15 to 30 degrees from horizontal to avoid osteophytes & narrowed joint. Dr. Janet Pope @Janetbirdope #Medial #Knee #Intraarticular #Corticosteroid #Injection #clinical #video #physicalexam #procedure #msk #orthopedics #sports #rheumatology

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Antibiotics for Cellulitis • Treatment duration • When to give antibiotics for abscesses • When to choose IV • Purulent vs Non-Purulent • When to suspect MRSA By Dr. Sarah Foohey @SarahFoohey #Cellulitis #Antibiotics #Treatment #Management #Skin #InfectiousDiseases

Traumatic Cardiac Arrest: ED Thoracotomy Instructions 1. CALL FOR HELP. 2. GATHER SUPPLIES. +/- Sterile gloves, towel, chlorhexidine Thoracotomy Tray For opening: Scalpel + Scissors, Finochietto retractor (spreaders) For sternum: Sternal saw, Lebsche knife & mallet, or shears For inside: Clamps, Forceps, Needle driver, Sutures 3. GET INTO CHEST. If-time, make strile: Gloves, chlorhexidine, towels. Make cut: Scalpel, 4cm at 4th ICS, along rib, skin + subcut Extend cut: Scissors, up to sternum, down towards axilla. Use 2 fingers to protect the lung, cutting over hand. Open up: Retractor. Hand crank & long bar are lateral. Repeat on other side. Cut sternum: Sternal saw, trauma scissors. 4. INSIDE THE CHEST: Correct reversible pathology: bleeding, obstruction. Highest survival rate after isolated cardiac injury. Evacuate Pericardium Repair Laceration on heart Cardiac Massage Cross-Clamp Aorta Intrathoracic Hemorrhage Air Embolism Dr. Sarah Foohey @SarahFoohey #Thoracotomy #Instructions #procedure #emergency #trauma #checklist #thoracic

Cyanide Toxicity Treatment: 1) Hydroxocobalamin + Cyanide = Cyanocobalamin (nontoxic) or 2) Amyl nitrite - causes methemoglobinemia - Methemoglobin binds cyanide - Sodium thiosulfate enhances conversion of cyanide to thiocyanate (renally excreted) #Cyanide #Toxicity #Toxicology #Pathophysiology #Management #Treatment

Narrow therapeutic index #pharmacology