Tenesma

Tenesma

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About Tenesma

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  1. How would you manage this airway?

    exposed gray matter and blood in the lungs does not make for a good donor (except for bone/cornea, and you don't have to keep them intubated for that). the force of impact to reveal gray matter is not compatible with life, and therefore you are just ...
  2. How would you manage this airway?

    if i see gray matter i would place an IV, hydrate them w/ some morphine and let the family say goodbye with a lot of bandage on that pts head/face...
  3. crna becoming anesthesiologists,MD??

    While PA, CRNA, PH.D. students do take some courses with medical students - they often don't take the same amount of hours and don't take all the tests involved with that specific course. For example, CRNAs take some physiology classes w/ the med s...
  4. Have Docs kept you out of an OR room b/c your a CRNA?

    Your position is that CRNAs can do Chronic Pain and the interventional aspects of it - since you guys contend it falls under the practice of nursing - and since you have some superficial exposure to pain intra-operatively and post-operatively. Why do...
  5. I have finally had it-I'm giving up

    there are many treatments for interstitial cystitis - including some cheap medications - some bladder treatments by urology, and then finally sacral root stimulation implants. go online and read up about it...
  6. crna becoming anesthesiologists,MD??

    I know three who went back to med school - 2 became anesthesiologists and the other one went into internal medicine (go figure). there is no such thing as "CLEP" - even PAs can't bypass first year...
  7. Pain management after surgery for former addict

    former addicts have a high risk of relapse even if the drugs are used for post-op pain control.... my recommendation would be 1) a lot of long-acting local anesthetic from the surgeon 2) toradol for 3 days followed by high dose motrin thereafter 3) u...
  8. SON HAS STOLEN MY MEDS

    1) the fact that you know who took your medications and you aren't reporting it to the police makes you guilty of diversion which is a felony. so your only real choice is to file a police report. 2) demerol is the wrong choice of medication for you ...
  9. Clinical Question

    0.6mg/kg??? that may be a typo - i don't go over 70-80mcg/kg.
  10. Wrote a doctor up!!!

    why would you take a foot IV out --- flush it and use it. Instead you subjected this poor patient to a bunch of sticks for no good reason.... And exlain to me how flushing an IV is going to cause a clinically significant thrombus (unless she has a w...
  11. Retrograde Intubation vs. Crichotyrotomy

    I have been at a LOT of airway shambles on the streets, in the ER and the OR... Most people who say they can do a quick surgical airway are full of c r a p ... If you ask the average ENT surgeon how many emergency crics they did during their 5-6 yea...
  12. Intrathecal anesthesia in Von Willebrand patient

    there are many case reports in the literature of patients with Von Willebrand receiving neuraxial anesthesia (primarily in the OB anesthesia literature). Most patients are responsive to DDAVP or at worst you can give them some Cryo or Factor VIII (fa...
  13. NBP cuffs...?mis-used in ICU....

    papawjohn... 1) BP cuffs: it does not matter which way the cuff is applied (right side up or upside down... inside out is a lot harder though) 2) Placement: it doesn't matter where the BP cuff goes - even though systolic and diastolic are different ...
  14. Milranone and B/P

    if his BP is in the crapper because he is having coronary vasoconstriction in the setting of an acute coronary syndrome (ie: MI) then providing coronary vasodilation may actually improve blood flow to the affect ventricular wall, thus allowing for im...
  15. Milranone and B/P

    why couldn't you give nitro? it might have been appropriate for that guy...