Re: Learning thread (ER medicine)

Originally Posted by thanatos

speaking of strep throat, why is important to know if a pt who is presenting like an appy recently had strep throat?

Okay, I realise this is an old thread, but I did a search for some info and found it a great read. And I didn't see the answer to this question, so I thought I would throw out there that a bout of betahemolytic strep can cause/be followed by acute glomeulonephritis, and the abdominal pain may present like an appy.

Great thread, had to bookmark it!

Re: Learning thread (ER medicine)

WOOOO HOOOO!!! Love this thread. Thanks for starting it!!

Re: Aaa

Originally Posted by qanik

Betablocker to decrease shearing effect of nipride. Reasearch shows you are better off with a gtt of esmolol then a repeated single dosing of other beta blockers.

Qanik

what does shearing effect mean? what's the mechanism? Thanks!

Re: Learning thread (ER medicine)

Just learned this from a visiting ER doc. When you have a child brought in by parents with the complaint that the child will not stop crying, what should you look for?

Corneal abrasions, scratches. Young children are always scratching at their faces and cannot see the long hair from their mothers or others holding them and this can result in scratches, very painful.

Re: Learning thread (ER medicine)

Originally Posted by nightngale1998

Okay, I just took TNCC for the 1st time and thought this was cool to know (don't stone me if it is too easy):

Why is it not okay to have a young child flat on a back board? What else do you need to do?

They all got the answers right for this one, however one thing that has taken off in the UK particuly with london ambulance staff is using a leg vacum splint for the child, after all the child is not beig enough to put on an adult board (and we don't have small ones), this also makes it more comfortable for the child.

Re: Learning thread (ER medicine)

Exciting learning on night shift....
Why should you not give 1:1000 Epi IV for an allergic rx? (0.3 ml's slow push)

Re: Learning thread (ER medicine)

reply to er julie
Shearing is just what it sounds like. A single structure ripped apart ie. a spleen or a brain, shearing from the lining....(very bad as they it ussually just results in little tiny bleeds that are not able to recover from...bad, bad, bad.....) it tears apart, not like nice neat stab wounds or bullet wounds, however sheared skin is treated like a burn Ie. road rash...
Am I right?

Re: Learning thread (ER medicine)

Originally Posted by thanatos

Why is it important to alkalinize the urine of an aspirin OD? I'm looking for the specific mechanism that leads to increased elimination from the body.

Coming in late and this may have been answered, but you need to alkalinize the urine of an ASA overdose patient so the acid will transfer out through the urine. It is a concept called "pH partitioning" and based on the idea that particles will ionize in pH environment that is opposite of their current one. I am post final exam this morning so I'm a little muddly, but you can get the point.

Re: Learning thread (ER medicine)

Just read the whole thread, and not just the last page--did not realize you meant shearing regarding a nipride gtt, which thank god was answered because I have never heard of that.......LOL.....and I have been doing this a looooooonnnnnnggggg time!!!!!!! Mind, we do not use nipride often any more, don't even stock it......

Re: Learning thread (ER medicine)

Some one reply to the epi question....I am itching to tell about the 1 in 10,000 response that we saw........