... authori-
ties begin with a continuous infusion. If the acido-
sis has not improved after2hofinsulin therapy
the insulin infusion should be increased to 0. 15 to
0.2 U/kg/h. Both the insulin infusion ... age. The classic presentation is sudden
epigastric pain with pain-free intervals during
which the examination can reveal the classic sau-
sage-shaped mass in the right side of...
... Emergency Medicine
(ABEM) administers three written exams each
year: the Certification Exam, the Recertification
Exam, and the In- Training Exam. For the most
up-to-date information concerning these ... Carolina School of Medicine, Depart-
ment of Emergency Medicine, Chapel Hill, North Carolina (Chapters
7, 8)
David L. Leader, Jr., D.O., Clinical Instructor, Department of Emer...
... fluid.
12
• If blood pressure remains Ͻ70 mmHg despite pre-
ceding measures, a norepinephrine 8- to 1 2- g/
min loading dose and a 2- to 4- g/min infusion
to maintain mean arterial blood pressure ... needles (2 7- to 3 0-
gauge), and injecting the anesthetic slowly.
• The addition of epinephrine to lidocaine extends
the length of anesthesia and slows systemic ab-
sorption...
... dif -
cile in 10 to 25 percent of cases.
• Broad-spectrum antibiotics—most notably clin-
damycin, cephalosporins, and ampicillin/amoxicil-
lin—alter the gut flora in such a way that toxin-
producing ... DISPOSITION
• Inpatient treatment includes intravenous antibiot-
ics, usually an aminoglycoside, such as gentamicin
or tobramycin (1 .5 mg/kg), and either metronida-
zole (50 0 mg) o...
... drawn if clinically indicated or if the acetamino-
phen level falls in the toxic range on the Rumack-
Matthew nomogram.
• Activated charcoal 1 g/kg is indicated for GI de-
contamination and in case ... decontam-
ination, elimination of the toxin, and administra-
tion of the antidote.
• The airway should be secured. In the obtunded
patient, if gastric lavage is indicated,...
... 1996.
10. Cherington M: Lightning injuries. Ann Emerg Med
25: 517, 19 95.
For further reading in Emergency Medicine: A Com-
prehensive Study Guide, 5th ed., see Chap. 196,
‘‘Electrical Injuries,’’ ... continu-
ous intravenous infusion beginning4hafter the ini-
tial BALdoseare the standardagents.Radiopaque
lead material in the alimentary tract requires
whole-bowel irrigation for...
... Electroencephalographic
monitoring in the emergency department. Emerg Med
Clin North Am 12:1089, 1994.
For further reading in Emergency Medicine: A Com-
prehensive Study Guide, 5th ed., see Chap. 224,
‘‘Seizures ... A nationwide survey of prob-
lems in long-standing poliomyelitis. Spinal Cord 36:280,
1998.
For further reading in Emergency Medicine: A Com-
prehensive Study Gu...
... injury with subsequent increase in
pain and swelling as the patient continues to am-
bulate suggests a sprain rather than a fracture.
• On physical examination, significant findings in-
clude the ... of abdominal injury in the pedi-
atric patient, the physical examination has both a
high false-positive and relatively high false-nega-
tive rate. Therefore, either CT scanning or dia...
... are
under the age of 6 months.
CLINICAL FEATURES
• Abuse in infancy can result in the failure-to-thrive
(FTT) syndrome; these children often present to
the emergency department (ED) for other com-
mon ... 330t, 331
Hand
infectious conditions
clinical features, 53 5 53 6
diagnosis and differential, 53 6
emergency department care and disposition, 53 6
epidemiology, 53 5
pathop...
... undergoing the
Chapter 064. The Practice of Genetics
in Clinical Medicine
(Part 5)
Molecular analysis is generally more informative if testing is initiated in a
symptomatic family member, since ...
documented mutations (Chap. 3 45) .
Informed Consent
When the issue of testing is addressed, patients should be strongly
encouraged to involve other relatives in the de...