justcurious

The European Guidelines have also been updated. The full version can be downloaded here: www.erc.edu The European Guidelines recommend the 30:2 ratio for all providers (lay and professional). The rationale for all the changes is explained.

AtlantaRN, that's an awesome reply! NurseforPreggers, no matter what this &%^* of an OB said to you, you just saved a life. Or two lives, to be exact. Kudos to you.

Looks like iron deficiency anemia to me. Upper and lower endoscopy is clearly indicated. Should no bleeding source be found, I'd consider: *testing stool for occult blood (bleeding from the small intestine? - a rare thing, but very troublesome diagnostically - may be diagnosed via capsule endoscopy) *checking iron absorption - if poor absorption, consider celiac disease, Crohn's disease (there need not be any diarrhea) and some other diagnoses *gyn consult Take care, Magdalena

I used to have sore hands after each call, after washing my hands 100s of times. Now I carry my hand lotion with me in my pocket and apply it virtually every time I wash my hands. Works for me, although I do not look neat with my pockets bulging - I'll have to start carrying a bag soon

I thought you meant a resident (= MD in specialty training). The term "student doctor" refers to a medical student, right? Well, whoever it was, I wonder he had the nerve :uhoh21:

Ooops, I only just understood :rotfl:

Outcome of orthotopic liver transplantation in patients with haemophilia. Gordon FH; Mistry PK; Sabin CA; Lee CA Gut 1998 May;42(5):744-9. BACKGROUND: Many patients with haemophilia have developed cirrhosis or hepatocellular carcinoma due to transfusion acquired chronic viral hepatitis. AIMS: To assess the long term outcome of all haemophilic patients reported to have undergone orthotopic liver transplantation. METHODS: Transplant centres of patients identified by medical database search were contacted and survival data assessed by Kaplan-Meier analysis. RESULTS: Twenty six haemophilic men (median age 46 years, range 5-63 years) underwent orthotopic liver transplantation in 16 centres between 1982 and 1996. Indications for transplantation were hepatitis C cirrhosis (69%), hepatitis B with or without C cirrhosis (15%), viral hepatitis related hepatocellular carcinoma (12%), and biliary atresia (4%). Six patients (23%) were infected with human immunodeficiency virus (HIV). Postoperatively, the median time to normal clotting factor levels was 24 hours (range 0-48 hours) and exogenous clotting factors were stopped at a median of 24 hours (range 0-480 hours). Four patients (15%) had bleeding complications. The one and three year survival of HIV positive recipients (67% and 23%) was significantly poorer (p = 0.0003) than that of HIV negative recipients (90% and 83%). Coagulopathy was cured in all patients surviving more than 12 days post-transplant. Six of the 20 patients (30%) with hepatitis C cirrhosis pretransplant had evidence of disease recurrence at a mean of nine months post-transplant. CONCLUSIONS: Hepatitis C cirrhosis is the most common indication for orthotopic liver transplantation in patients with haemophilia. Transplantation results in long term cure of haemophilia but may be complicated by the effects of HIV infection or recurrent viral hepatitis.

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http://www.emedicine.com/med/topic2608.htm Hope this helps. Have a good day :)

could it be that the resident just did not feel secure placing a jugular line? some folks are like that, they won't admit a weakness... to save their face, they'd make someone else do it or maybe he is just plain dumb

I hope you do not mind me posting in this forum as I am neither a nurse nor a nursing student The reason I used to know was the platelets' tendency to clot. In order to prevent the clotting, they are put on a rotating tray in the blood bank and they should also be gently rotated on the ward until you hang them. Hope this helps. :) Magdalena