Hematological Changes with Aging
Fig. 8.1 Carolinas Medical Center warfarin reversal protocol Newer direct oral anticoagulant agents including dabigatran (direct thrombin inhibitor), rivaroxaban (factor Xa inhibitor), apixaban (factor Xa inhibitor), and edoxaban (factor Xa…
Immunologic
Innate Macrophage Reduced phagocytic activity Reduced generation of nitric oxide Reduced generation of superoxide Neutrophil Reduced phagocytic activity Reduced generation of superoxide Dendritic cells Reduced pinocytosis and endocytosis activity Reduced…
Skin, Soft Tissue, and Wound Healing in the Elderly
© Springer International Publishing AG 2017Fred A. Luchette and Jay A. Yelon (eds.)Geriatric Trauma and Critical Carehttps://doi.org/10.1007/978-3-319-48687-1_6 6. Skin, Soft Tissue, and Wound Healing in the Elderly David G. Greenhalgh1 (1) Department of Surgery, University of California,…
The Gastrointestinal Tract
Organ Grade Description Stomach Grade I Hematoma <3 cm Partial-thickness laceration Grade II Hematoma ≥3 cm Full-thickness laceration <3 cm Grade III Full-thickness laceration ≥3 cm Grade IV Full-thickness laceration…
Precipitous Labor and Emergency Department Delivery
HELPERR H Call for help E Evaluate for episiotomy L Legs (McRobert’s Maneuver by assistant) P Suprapubic pressure (by assistant) E Enter maneuvers/internal rotation (Rubin’s, Woods Corkscrew) R Remove posterior…
Evaluation and Treatment of Postpartum Hemorrhage
• Pregnancy with multiple fetuses • Fetal macrosomia • Fetal malpresentation • Prior uterine incision or myomectomy • Prolonged labor • Prolonged third stage (>20 min) • Previous postpartum hemorrhage • Placenta previa • Maternal obesity (BMI > 40)…
Cardiovascular Emergencies of Pregnancy
Fig. 9.1 Ultrasound image of decreased blood flow through right femoral vein DVT in transverse view. Reprinted with permission of the MedStar Georgetown University Hospital & MedStar Washington Hospital Center…
Bleeding in Late Pregnancy
Fig. 5.1 Placenta previa. Ultrasound image showing placenta covering cervical os (arrowheads). Image courtesy of Ian Suchet Management of placenta previa depends on gestational age and stability of the mother….
Imaging Considerations in Pregnancy
Gestational period Effects Estimated threshold dosea Before implantation (0–2 weeks after conception) Death of embryo or no consequence (all or none) 50–100 mGy Organogenesis (2–8 weeks after conception) Congenital anomalies…
