Download Emergency and Acute Medicine on the Move by Naomi Meardon, Shireen Siddiqui, Elena Del Vescovo, Lucy C PDF
By Naomi Meardon, Shireen Siddiqui, Elena Del Vescovo, Lucy C Peart, Sherif Hemaya
The Medicine at the Move sequence offers fully-flexible entry to matters around the curriculum, as a consequence emergency and acute drugs, in a distinct blend of print and cellular codecs. The books are perfect for the busy clinical pupil and junior healthcare professional, regardless of person studying type and whether or not they are learning an issue for the 1st time or revisiting it in the course of examination coaching, supplying definitely the right info at any time when and anyplace it truly is wanted. Readers can make a choice from the e-book and the booklet to fit various events, allowing them to profit from studying drugs at the move.
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Extra info for Emergency and Acute Medicine on the Move
1 Chest pain 33 Management •• See Fig. g. g. g. 25 mg Perform 12-hour troponin Yes Rise in troponin? NSTEMI Refer • ECG changes: refer to medicine/cardiology according to local policy • No ECG changes, but suspected cardiac pathology: utilize clinical decisions unit (CDU) while awaiting troponin result Fig. 2 Management of acute coronary syndromes. g. g. g. 1 Chest pain 35 Aetiology •• Idiopathic •• Secondary to infection: •• Viral: −− Influenzae −− Coxsackie −− Parvovirus −− Epstein-Barr −− HIV •• Bacterial: −− Streptococcus pneumoniae −− Rheumatic fever −− TB −− Staphylococcus aureus •• Fungal MICRO-facts Pericarditis commonly presents following a viral illness.
Exposure Management: • Cover patient with blankets to maintain normothermia. • Consider rewarming techniques if hypothermic: forced air warming blankets, warm IV fluids, humidified O2. Fig. 1 Assessing the unwell patient ABCDE algorithm. 1 Assessing the acutely unwell patient 9 • Unresponsive? • Not breathing/occasional gasps? Call for help! • CPR 30:2 • Attach defibrillator/monitor • Minimize interruptions Assess Rhythm Shockable VF/Pulseless VT Non-Shockable PEA/Asystole During CPR: 1 Shock • 150 – 360 J biphasic • 360 J monophasic • Immediately resume CPR • 30:2 for 2 min • Give uninterrupted CPR • Provide O2 • IV access • Give adrenaline every 3–5 min • Correct reversible causes* • Immediately resume CPR • 30:2 for 2 min Return of spontaneous circulation Immediate Post-Cardiac Arrest Treatment • Use ABCDE approach • Controlled O2 ventilation • 12-lead ECG • Treat underlying cause • Consider therapeutic hypothermia Fig.
Signs of AAA and DVT. Emergency and acute medicine Management: • Secure IV access. • Take bloods including FBC, G+S or X-match, full profile, clotting screen, cardiac markers if applicable. • Consider IV fluid challenge if shocked. Monitor: • Cardiac monitor. • Attach and monitor via defibrillator if peri-arrest. • HR, NIBP/IBP monitoring/urine output monitoring via urinary catheter. • 12 lead ECG. Disability Assessment: • AVPU/GCS. • Pupillary/plantar reflexes/CNS and PNS examination. • Check blood glucose.