Clinical suspicion of cholecystitis or biliary colic: Abdominal pain, particularly right upper quadrant (RUQ), epigastric Right flank pain Right shoulder pain Nausea/vomiting Sepsis without source CONTRAINDICATIONS None: No contrast or…
Used to treat posterior canal benign paroxysmal positional vertigo (BPPV) that has been confirmed through a positive Hallpike test (upbeat, ipsilateral, and torsional nystagmus in the head-hanging position) This is…
Normal Fluid An ultradiasylate of plasma with protein and hyaluronic acid Clear to straw colored Viscosity of oil Crystals Gout Monosodium urate (MSU) crystals Negative birefringence Needle shaped Pseudogout Calcium…
To suction/intubate a patient with significant blood, emesis, or secretions within the airway CONTRAINDICATIONS Contraindications to direct laryngoscopy SUPPLIES All necessary supplies for intubation (see Chapter 1) Endotracheal tube (ETT)…
Most elderly patients who present with inhalation of foreign material have had a stroke whilst eating. The patient may grip the throat with one hand and the wrist with the…
A decreased level of consciousness indicates that something is wrong with the brain or its fuel supply. It may be: 1 Poisoning or gross metabolic disturbance (including CO2 narcosis and hypothermia)…
Four four-letter words describe a structured approach to examination of the limbs: LOOK, FEEL, MOVE, X-RAY. Immediate Assessment and Management Start with the ABCs as discussed in Chapter 1. Apply…
Box 8.1 Upper Limb Support and Splintage Broad Arm or Triangular Sling Used to support the weight of the arm and restrict its movement. Useful for: fractures, dislocations and other painful…
In the UK in 2012 Around 10% of children have a mental disorder Over 5% of children are disabled One in 400 children is on the child protection register (or…
In 20% of people with cardiac arrest there is no previous history of ischaemic heart disease. The heart is a pump with an electrical controlling system. Its power supply comes…
