By Scott H. Plantz, E. John Wipfler
NMS Emergency drugs, moment variation offers scientific scholars, citizens, health care provider assistants, and nurse practitioners with an creation to the center content material of emergency medication. The book's concise narrative define structure is helping readers speedy assimilate quite a lot of fabric. every one bankruptcy is through USMLE-style examine questions. A entire Board simulation exam is obtainable on-line. This variation has been completely up to date and streamlined to target crucial fabric. Questions were revised to raised replicate the extent of trouble of shelf tests. The e-book has a brand new two-color layout with extra illustrations and wider margins for notes.
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Extra info for NMS Emergency Medicine, 2nd Edition
Subclavian vein catheterization is associated with a low infection rate and is more comfortable for long-term access. (ii) Disadvantages are the increased risk of pneumothorax (1%–2%), subclavian artery puncture (1%), and interference with chest compressions. (c) The femoral vein is considered a central access point and is easily cannulated (the success rate is 90%). Guidelines for femoral vein catheterization are given in Table 1–10. (i) Advantages. Catheterization of the femoral vein does not interfere with airway management or chest compressions and there is no risk of pneumothorax.
B. Transtracheal jet insufflation. Needle cricothyrotomy is performed by inserting a largecaliber (12- to 14-gauge) plastic cannula into the trachea, again through the cricothyroid membrane. The cannula is attached to a high-pressure oxygen source; oxygen is delivered with manually controlled intermittent insufflation. c. Fiberoptic intubation. Fiberoptic laryngoscopy precedes intubation and the endotracheal tube is advanced over fiberoptic cable into the trachea. d. Lighted stylet intubation. A stylet with a bright light source at the tip is used in a darkened room to help identify the trachea.
The heart rate is 120–280 beats/min (typically 160–200 beats/ min) and regular. The patient may present with angina, signs of CHF, or hypotension. b. , paroxysmal supraventricular tachycardia with block), paroxysmal atrial fibrillation, ventricular tachycardia, and atrial flutter. c. Evaluation. The ECG usually shows a narrow QRS complex with flattened or notched P waves. In patients with WPW syndrome, a “delta” wave may be noted. P waves are seldom identified at heart rates greater than 200 beats/min.