By Scott C. Sherman, Joseph M. Weber
A hugely centred and hugely cheap overview of the most important techniques of emergency drugs. "USMLE street Map: Emergency Medicine" bargains an easy-to-follow define structure that simplifies and speeds the learning of the fundamental techniques of emergency medication. High-yield proof, studying, counsel, and transparent reasons built-in in the define advertise comprehension and bear in mind; medical correlations built-in in the define hyperlink subject matters to their scientific purposes.
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Additional resources for USMLE Road Map: Emergency Medicine (International Edition)
Wounds of the face and scalp rarely become infected (1–2%) due to an excellent blood supply, and may be safely closed 24–48 hours after injury. Infection rates of upper (4%) and lower (7%) extremity wounds are higher. 3. Mechanism. Lacerations sustained by a blunt, crushing force produce more local tissue damage and therefore have a higher rate of infection than lacerations caused by a sharp instrument (ie, knife). A puncture wound also has a high rate of infection because bacteria are driven into the tissue and are difficult to remove.
V. Clinical Presentation A. History 1. Obtain from paramedics or any available family members. 2. Inquire about medications, past medical history, allergies, trauma, or events leading up to SCD. B. Physical Examination 1. Check ABCs. 2. If the patient presents with an ET tube in place, ensure that it is positioned properly by listening to breath sounds. 3. Continue CPR as outlined. KEY COMPLAINTS Obtain a thorough history from family members, paramedics, or other witnesses. VI. Differential Diagnosis A.
Tube thoracostomy after needle thoracostomy for simple pneumothorax, traumatic hemothorax, or large pleural effusion with respiratory compromise. II. Contraindications. Always be sure that the suspected pneumothorax seen on CXR is not actually a pulmonary bullae or bleb. These are gas-filled spaces with thin walls in which lung parenchyma has been destroyed and alveolar size is greatly increased, sometimes mimicking a pneumothorax. Bullae tend to be localized in the upper lung fields, with normal lung markings to the periphery in the lower lung fields.