By Scott C. Sherman

A hugely centred and hugely reasonable evaluate of the main options of emergency medication. "USMLE street Map: Emergency drugs" bargains an easy-to-follow define layout that simplifies and speeds the gaining knowledge of of the basic suggestions of emergency drugs. High-yield evidence, studying, tips, and transparent reasons built-in in the define advertise comprehension and remember; medical correlations built-in in the define hyperlink subject matters to their medical purposes.

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Additional resources for USMLE Road Map: Emergency Medicine (LANGE USMLE Road Maps)

Sample text

Care should be taken not to get the solution in the wound itself, as this inhibits healing. Draw up 1% buffered lidocaine into a syringe using a 25or 27-gauge needle. Buffering the lidocaine with bicarbonate and using a small needle reduce the pain of injection. Lidocaine is infiltrated within the wound edges and around the entire wound (field block). In contaminated wounds, puncture the skin around the laceration (theoretical lower risk of infection); in clean wounds, puncture the wound edge within the wound itself (decreases pain of injection).

Complications A. Infection. Despite all efforts to reduce the risk of infection, this complication can still occur. The patient should be instructed to return upon the first signs of infection. Some patients with high-risk wounds should be asked to return to the ED within 24–48 hours to have the wound re-examined by a physician. B. Scarring. Patients should be instructed that a scar will form with healing. Scarring is more significant after full-thickness wounds and when absorbable sutures are used.

The needle is inserted subxiphoid, aiming to the left shoulder. Pull back on the syringe plunger while advancing the needle until blood is obtained. N Chapter 9: Cardiopulmonary Arrest 41 2. Needle thoracostomy. Indicated when there is suspicion of tension pneumothorax in the setting of PEA (see Chapter 7). D. Diagnostic Algorithm Patient unresponsive. Assess airway, breathing, circulation (pulse). No pulse. Initiate CPR, while attaching monitor or defibrillator. VF or VT PEA Asystole Defibrillate Secure airway with intubation.

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