By Scott C. Sherman
A hugely concentrated and hugely reasonable overview of the key thoughts of emergency drugs. "USMLE highway Map: Emergency drugs" deals an easy-to-follow define structure that simplifies and speeds the getting to know of the basic techniques of emergency medication. High-yield proof, studying, tips, and transparent reasons built-in in the define advertise comprehension and bear in mind; medical correlations built-in in the define hyperlink themes to their medical purposes.
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Contraindications A. Increased ICP is an absolute contraindication. A non-contrast head CT scan should be performed to rule out a mass before performing an LP in the following clinical situations: AMS, focal neurologic deficits, signs of increased ICP (papilledema), immunocompromise, > age 60, or recent seizure. B. Coagulopathy and thrombocytopenia are relative contraindications. FFP and platelets should be administered before attempting an LP. C. Cellulitis over the site of needle insertion is an absolute contraindication.
Coagulopathy and thrombocytopenia are relative contraindications. FFP and platelets should be administered before attempting an LP. C. Cellulitis over the site of needle insertion is an absolute contraindication. III. Equipment A. Most EDs have a commercially available LP kit, which contains all of the essential materials except povidone-iodine (Betadine) (Figure 5–1). Kits include 20-gauge spinal needle, 22- and 25-gauge needles for lidocaine administration, 4 collection tubes, stopcock and manometer with extension tubing, sterile drapes (fenestrated, with hole in center, and unfenestrated), skin cleansing sponges, and lidocaine.
If there is a clear advanced directive in writing, signed by the patient or medical power of attorney for the patient, stating that resuscitative efforts are not to be instituted. 2. If resuscitation would be futile because the patient shows clear signs of irreversible death (decapitation, rigor). IX. Disposition A. Once the patient has ROSC, underlying conditions leading to the arrest must be managed for optimal outcome. B. If ACS is the presumed diagnosis, all therapies and, especially PCI, should be considered.