Episodes
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Think of a WWF player getting hit by a Coke bottle in the hip. WWef
- Weight bearing issues
- WBC >12
- ESR >40
- Fever >38.5
Score of 1 = 3%, 2=40%, 90+ for 3 and 4
ALSO, REMEMBER TO GET A CRP! -
B blockers
ACE
Diuretics (K sparing)
ARB
NSAID
Trimethoprim -
Missing episodes?
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Remember the IG poop toilet paper exchange prank…kids got pain way out of proportion screaming & running to the sink.
Imagine wiping peanut butter on the kids neck….
Messy NEC CID
Messy( risk factors atherosclerotic disease = mess)
NEC
-nuts
-extremity
-“C” food… seafood
Comp
Ischemic limb
Dislocation
1. Mesenteric Ischemia:
- Vascular occlusive emergency
- Varied presentation, including severe pain and associated vomiting or hematochezia
- Pain may not worsen with abdominal palpation
- Only 25% will have hemoccult-positive stool
2. Necrotizing Fasciitis:
- Type I: NUTS: Polymicrobial, trunk and perineal area, associated with immunocompromised states (DM, etc)
- Type II: Extremity: Streptococcus pyogenes +/- Staphylococcus aureus, occurs in healthy, young, immunocompromised hosts, located on extremities
- Type III: “C” food… seafood: Vibrio vulnificus, least common, associated with exposure to warm seawater and severe liver disease
- Signs and symptoms include erythema, pain beyond erythema, swelling, crepitus or necrosis, induration, bullae, fever, and hypotension
3. Compartment Syndrome:
- Clinical condition caused by fractures, soft-tissue injuries, burns, or circumferential dressings
- Commonly affects young people, especially with high-energy injuries
- Main symptom is severe pain out of proportion to the injury
- Other symptoms include pallor, paresthesia, paresis, and pulselessness (late findings)
Get someone to check compartment pressures!
4. Ischemic Limb:
- Document neurovascular status, color, and temperature
- Associated with compromised blood flow to the limb
- Assessment includes examination of pulses, skin color, and temperature
*Concerned but has thready pulse: Doppler, ABI & CT angiogram limb
5. Acute Joint Dislocations:
- Common in wrist, hip, and ankle joints
- Assess for dislocation along with fractures on X-rays -
Wakefulness
Warmth
Wee
Wactate
If BP low these show adequate circulation -
My absolute favorite podcast of all time!
Classification of brain injury via GCS:
<8 = severe brain injury
9-12 = moderate
13-15 = minor -
LADS:
Laxitives
Adrenaline
Diuretics
Steroids -
Dysdiadochokinesia / Dysmetria
Ataxia
Nystagmus
Intention tremor
Slurred speech
Hypotonia
Dysdiadochokinesia, also known as adiadochokinesia, is the medical term for the inability to perform rapid, alternating muscle movements. The term comes from the Greek words dys, meaning "bad", diadochos, meaning "working in turn", and kinesis, meaning "movement". -
Heart failure (acute/chronic)
MI
Tachyarrhythmia
Renal failure
Aortic dissection
Myocarditis
PE
Sepsis
(think of homeless coming in claiming chest pain) -
SEPSIS Mnemonic
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Headache: Deadly Differentials & Red Flags
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Asthma & Croup Quiz: basic meds knowledge for educational purposes only!
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Normal Lab Values Mnemonic: CMP, CBC, ABG, Coags
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Remember the Chem7 by the mnemonic: Salty Bun (Na/Cl, BUN), Pot of Hot Coffee, Cream (K, HCO3, Cr), and Sugar (glucose)
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Hippo and Thor. That’s all you need to remember the reversible causes of cardiac arrest.
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Shout out to Dr Jared Ross for laying the foundation knowledge for this episode about Stroke.
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EKG Flowchart: Is there a P Wave
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On a piece of paper, draw three lines horizontally to divide four unique approaches to ACLS: Shockable, unshockable, bradycardia, tachycardia.
Of course, the entire paper represents CPR. These four unique approaches are how to handle the electrical and chemical aspects. You’ve got this! -
The 6-Ps of Dyspnea: Critical Pulmonary Differential
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Antibiotics that cover pseudomonas:
Meropenem, aztreonam, fluoroquinolones (not moxi), Imipenem, aminoglycosides, pip/tazo, cefepime, ceftazidime.
If there is a puncture wound through the foot, you want to ask if they have worn shoes because if so, you need to cover for pseudomonas. - Show more
