A Week in Review: July 3 - 7th
Monday: Back to Basics - Mysterious Arm Mass
What is a Biceps Rupture?
Do you know what the Squeeze test or Hook Test are?
Save your patient an uncessary x-ray to CT scan.
Treatment is sling for comfort and ortho follow up
Tuesday: Advanced Practice - After Lazarus, Post Cardiac Arrest Ventillator Management
Click this link to see a great view with quick summary
Thursday: #emconf - Meds for the Seizing Patient
First line:
Benzodiazepine (Midazolam / lorazepam / diazepam)
Second Line:
-IV Fosphenytoin
-IV Valproic Acid
-IV Levetiracetam
-IV Phenobarbital
Third Line:
-Repeat second line options
-Anesthetic doses of: Midazolam, Propofol, Ketamine, Thiopental or Pentobarbital, or inhaled gases
*All with continuous EEG monitoring
Friday: Critical Care - Identifying and Preventing Post Intubation Hypotention
Best prevention is good dectection, patients with the following characteristics are at highest risk of post intubation hypotention:
- patients with an elevated shock index (HR/SBP) ≥ 0.8
- elderly patients (less cardiopulmonary reserve)
- patients with intravascular volume depletion