ACUTE RENAL FAILURE BASICS A rapid increase in blood urea nitrogen (BUN) and creatinine ETIOLOGY Prerenal • Volume depletion, heart failure, liver failure, sepsis, burns, bilateral renal artery stenosis, drugs (nonsteroidal…
AIRWAY MANAGEMENT Indications for Intubation BASICS Failure to oxygenate or ventilate Failure to protect airway Anticipated clinical course Rapid Sequence Intubation BASICS Preoxygenate Pretreat • Lidocaine if reactive airway disease or…
ACETAMINOPHEN TOXICITY, SALICYLATES, NONSTEROIDAL ANTI-INFLAMMATORY DRUGS Acetaminophen BASICS Common drugs: Tylenol Acetaminophen poisoning has become the most common cause of acute liver failure in the United States Pediatric toxicity >250…
POSTEXPOSURE PROPHYLAXIS BASICS Infectious bodily fluids • Blood • Cerebrospinal fluid • Semen • Vaginal fluid • Amniotic fluid • Pericardial, peritoneal, pleural, synovial fluids Noninfectious bodily fluids (unless contaminated with blood) • Tears, saliva, sweat, feces,…
1. A 72-year-old female presents to the emergency department (ED) with 4 hours of substernal crushing chest pain, that radiates to the back. She reports associated shortness of breath, diaphoresis, and…
Triage level Description Should be seen by provider within (min) 1 Resuscitation 0 2 Emergency 10 3 Urgent 30 4 Semi-urgent 60 5 Nonurgent 120 Nationally, most patient presentations fall…
© Springer-Verlag Berlin Heidelberg 2015Diana Slade, Marie Manidis, Jeannette McGregor, Hermine Scheeres, Eloise Chandler, Jane Stein-Parbury, Roger Dunston, Maria Herke and Christian M.I.M. MatthiessenCommunicating in Hospital Emergency Departments10.1007/978-3-662-46021-4_7 7. Action Strategies for Implementing Change Diana Slade1 , Marie Manidis1 , Jeannette McGregor1 , Hermine Scheeres1 , Eloise Chandler1 , Jane Stein-Parbury1 , Roger Dunston1 , Maria Herke2 …
Fig. 4.1 Analysis of questions and statements in the Fahime interaction It is reasonable to expect that in the initial history-taking stage the junior doctors might ask many questions and…
Hospital A Hospital B Hospital C Hospital D Hospital E Number of presentations annually (figures provided by each hospital) 44,791 29,908 49,916 56,198 59,017 Average number of patients seen…
Communication strategy Description Examples from authentic recorded interactions 1. Introduce yourself and describe your role Alleviate patient anxiety by introducing yourself and explaining your role in order to clearly establish…
