“Intubation is not just about inserting an ET tube. You must know how to prepare the patient, recognize difficult airway. You must also need to make sure the patient survives post-intubation” • Preparation• Pre-Oxygenation• Pre-Medication• Paralysis with Induction• Positioning• Placement with Proof• Post-Intubation Management Introduction • Also known as crash induction • A special process […]
Author: myhouseman
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Airway Equipment
“Don’t make laryngoscope as a murder weapon!” Preparation • sdsdsd Top Airway Adjunct Other Airway Equipment
Airway Anatomy Airway Management Airway Manoeuvre
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Lung Contusion
Introduction • Injury to the alveolar capillaries, without any tear or cut in the lung tissue → accumulation of blood and other fluids within the lung tissue → excess fluid interferes with gas exchange leading to hypoxia Further Reading • Lung Contusion: A Clinico-Pathological Entity with Unpredictable Clinical Course, by NLM• https://www.researchgate.net/figure/The-normal-alveolus-Left-Hand-Side-and-the-injured-alveolus-in-the-acute-phase-of-acute_fig5_230654786
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Posterior Shoulder Dislocation
Introduction • Rare, only 4% of all shoulder dislocation• Can be [1]• Chronic dislocation if >1 week [2] Clinical Features Mechanism of injury • Direct blow from the front of affected shoulder• Fall on outstretched internally rotated hand • Seizure ======💡Notes• If the patient presented with features of posterior dislocation but due to , ask […]
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Anterior Shoulder Dislocation
Introduction A common type of dislocation seen in ED, especially anterior shoulder dislocation Types: • Anterior dislocation (95%)• Posterior dislocation (≈4%)• Inferior dislocation Clinical Features Mechanism of injury • Patient had a fall due to seizure / accident Presentation • Patient complained of extreme pain over affected shoulder Physical examination Features of anterior dislocation• Affected […]
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Dengue (Adults)
“Dengue is a bread and butter. Every doctor must know dengue from front till the end” Introduction • Dengue must be identified and risk-stratified early • Dengue is a notifiable disease Pathogen • Dengue virus (single-stranded RNA virus, from Flavivirus genus)• Intrinsic incubation: 4 – 7 days, up to 14 days (viraemic period, may be […]
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Atropine
Preparation IV: 1 mg/mL Mechanism of action Competitive, reversible Uses • Bradycardia • To reduce salivation / bronchial secretion• Antidote for organophosphorous poisoning Doses Side effects • Hypersensitivity• Lack of sweating•Blurred vision• Dry mouth• Tachycardia Q&A Reference https://www.rxlist.com/atropine-side-effects-drug-center.htmhttps://www.ncbi.nlm.nih.gov/books/NBK470551/
Head CT is required in minor head injury if patient has any of these signs: High risk (for neurological intervention) Age ≥65 years GCS <15 at 2 hours after injury Suspected open or depressed skull fracture Any sign of basal skull fracture Vomiting ≥2 episodes Medium risk (for brain injury on CT) Amnesia before impact […]
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Head Injury
Introduction / Definition • Cerebral contusion = traumatic brain parenchymal injury caused by rapid tissue displacement, disruption of vascular channels, and subsequent haemorrhage, tissue injury and oedema • Cerebral concussion = reversible from head injury in the absence of contusion Notes • Subarachnoid haemorrhage is due to trauma Related Posts Canadian CT Head rule