Week in Review: April 23rd - 28th
Monday: Back to Basics - Peritonsillar Abscess
Look for sore throat with uvula deviation and fullness
Check Intracavitary Ultrasound to locate fluid collection and assess depth.
Aspirate with large gage needle, One time dose of steroids, start antibotics
Tuesday: Advanced Practice - Pregnancy and Critical Illness
Early involvement of Ob and consider Fetal Monitor
Same meds for RSI, Avoid acidosis
Fluid resusitation with lines above diaphragm (avoid femoral)
Place in Left Lateral Decuib position to improve venous return
Wednesday: What's the Diagnosis?
Thursday: #emconf - Rheumatoid Arthritis in the ED
High risk for traumatic injuries in spine 2/2 stiffness
Long standing RA is a risk factor for ACS
Major complication of treatment for RA is GI bleeding (Steroids and NSAIDS)
Friday: Critical Care - Management of Delerium Tremens
Often mimics other tyoes if critical illness
Use the CWIA score to assess severity of symptoms
Utilize lorazapam or diazepam to treat symptoms in progressive manner
Saturday: Board Review - Ob/GYN
Post Partum Vaginal Bleeding, what is the cause?