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Emergency Medicine
Emergency Medicine is a branch of medicine that deals with patients in need of immediate medical attention. Those who study emergency medicine often work in the emergency room (ER) of a hospital.
233 Questions
How often should oxygen be used and how much water should one drink to remove fluid from the lungs?
This is a two part question:
1. How often should oxygen be used. Home oxygen therapy is used for patients unable to maintain an oxygen saturation over 88%. It is also used for people who have sleep apnea but do not need or tolerate CPAP therapy. If you are prescribed oxygen for sleep apnea, you only need to wear it at night. If you wear it for hypoxia (COPD, CHF, etc), you may need to only wear oxygen when you are active, or you may need it all the time. The precribing provider should give you that information. Follow the instructions your provider gave you.
2. Fluid restriction can be used to help control Congestive heart failure, in addition to diuretics. There is no strict number that works for everyone. You should discuss this with your provider. Typically, fluid restriction is less than 2 liters per day, but your provider will tailor this to your specific needs.
What are some procedures that emergency medicine doctors cannot do?
Emergency medicine doctors, like all medical practitioners, must abide by their authority to practice. The authority to practice (ATP) is the level to which a medical practitioner can practice.
By way of explanation, emergency medicine doctors cannot perform any procedures that are outside their scope of practice. Performing procedures above your ATP without prior consultation with a senior surgeon or doctor can result in serious consequences for both the patient and the doctor.
MOS means Member Of Service. MOS is an acronym used in the US for any first responder such as a police officer, firefighter, emergency medical technician, paramedic. If ambulance crews include professional medical persons, an MOS could also be a doctor or nurse.
MVA is Motor Vehicle Accident.
So an MOS involved MVA means any Member Of Service who also happens to be part of the accident scene, e.g. one of the drivers.
Example: An ambulance is on its way to the hospital with a patient. The ambulance has a 2-person crew. It is run into by a car who failed to yield. The MOS would be the 2-man crew, except plural, Members of...
Alteplase is the trade name for recombinant tissue plasminogen activator (r-tPA), a medication given to certain patients with ischemic stroke, pulmonary embolus, or myocardial infarction.
What are the requirement for getting an EMT license in Michigan?
To get an EMT license in Michigan, you must meet the following crieria:
-Be at least 18
-Complete a Michigan EMT course within the past 2 years
-Be registered through the National Registry of Emergency Medical Technicians (NREMT)
What is the most effective way to determine whether your patient's problem is medical or trauma?
SYMPTOM SEARCH - Ask- Clinical history is the answer. SIGN SEARCH - Palpate to find tenderness.
What pharmacies are open on Christmas day in Clearwater Florida?
- CVS Pharmacy - at 2200 Gulf to Bay Blvd, Clearwater, FL. Ph: (727) 791-3548
- 2 CVS Pharmacy - at 2175 Main St, Dunedin, FL. Ph: (727) 734-7449
- 3 CVS Pharmacy - at 13998 Walsingham Rd, Largo, FL. Ph: (727) 595-2521
- 4 CVS Pharmacy - at 7101 Park Blvd N, Pinellas Park, FL. Ph: (727) 544-1200
- 5 CVS Pharmacy - at 8001 9th Street N, Saint Petersburg, FL 33702. Ph: (727) 577-6888
- 6 CVS Pharmacy - at 2100 66th Street North Saint Petersburg, FL 33710. Ph: (727) 345-3599
- 7 CVS Pharmacy - at 1000 East Tarpon Avenue Tarpon Springs, FL 34689. Ph: (727) 937-4203
- 8 Walgreen Drug Stores - at 1801 Gulf To Bay Blvd, Clearwater, FL. Ph: (727) 441-8694
- 9 Walgreens - at 10121 Seminole Blvd, Seminole, FL 33772. Ph: (727) 398-7308
- 10 Walgreens - at 1880 N Belcher Rd, Clearwater, FL. Ph: (727) 462-9084
- 11 Walgreens - at 33670 US Hwy 19 North, Palm Harbor, FL 34684. Ph: (727) 785-7643
- 12 Walgreens - at 5 S. Pinellas Ave., Tarpon Springs, FL 34689. Ph: (727) 942-1686
- 13 Walgreens - at 8706 W Hillsborough Ave, Tampa, FL 33615. Ph: (813) 885-2766
- 14 Walgreens - at 5420 9th St. N, St Petersburg, FL 33703. Ph: (727) 526-5769
- 15 Walgreens - at 2295 E Bay Dr, Largo, FL. Ph: (727) 585-6810
- 16 Walgreens - at 1477 Main St, Dunedin, FL. Ph: (727) 733-3176
- 17 Walgreens - at 10121 Seminole Blvd, Seminole, FL. Ph: (727) 398-7308
- 18 Walgreens- at 2598 Bayshore Blvd, Dunedin, FL. Ph: (727) 733-9375
- 19 Walgreens - at 14004 Walsingham Rd, Largo, FL. Ph: (727) 596-5722
- 20 Walgreens - at 13705 Park Blvd N, Seminole, FL. Ph: (727) 319-2757
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Why can you only leave a tourniquet on for 60 seconds?
Tourniquets are dangerous when used improperly, such as having them applied too long, as they restrict blood flow to the extremity or limb, therefore resulting in failure of that limb or extremity.
The Initial, or Primary, Survery is a rapid evaluation to quickly identify life or limb threatening injury.
The Primary survey consists of ABCDE:
- Airway - evaluation of the airway includes ensuring the airway is unobstructed, the trachea is midline, and if necessary, securing the airway either with a supraglottic device, endotracheal intubation, or if necessary, cricothyrotomy/tracheostomy
- Breathing - ensuring breathing is normal. This includes observing the breathing pattern, effectiveness, and listening to the lungs. One should also observe the chest for abnormal mechanics
- Circulation - look for any obvious sources of hemorrhage and apply pressure, if necessary. Also, look at overall perfusion.
- Disability - a quick mental status evalution. Adult Trauma Life Support (ATLS) recommends using the AVPU mnemonic - Alert, responds to Verbal stimuli, responds to Painful stimuli, or Unresponsive.
- Exposure - remove all clothing, rapid anterior and posterior examination, and cover with warm blankets.
The primary survey can usually be completed in a matter of a few seconds if a patient is well appearing.
How do they get the stuff that is in an epi pen?
In an Epi Pen, there is epinepherine, hence the name "Epi". Epinepherine is a naturally made hormone in everyone that affects neurotransmitters in your body. Because it is naturally made, no one can be allergic to it, but it does cause extreme reactions. An Epi Pen simply contains more epinepherine than your body produces to counteract a severe allergic reaction.
A significant portion of Acute Coronary Syndrome patients have few ECG changes. They are diagnosed based largely on positive enzymes and those aggressively treated early have much better outcomes.
You should seek immediate medical attention
Would a patient with bilateral femur fractures be considered critical?
A femur fracture is critical, period. To have two femur fractures doubles their chances of possibly having a severed artery, and bleeding out.
What would happen if you shoot someone in the head with a bb gun?
That would not be good, so don't try it.
How loNg do you leave a tourniquEt on THE ARM?
You put it on and leave it on until the person gets to the hospital.
Sample recommendation letter for a physician?
A sample recommendation for a physician should be very personal. You want to let the person receiving the letter know what this person has done and how they will contribute to being a great physician.
What is the maximum time a tourniquet should be left on for cannulation?
A tourniquet should generally not be left on for more than 1-2 minutes during cannulation to minimize the risk of tissue damage and complications such as nerve injury or thrombosis. Prolonged application can lead to ischemia of the underlying tissues. If venous access is not achieved within this timeframe, it is advisable to release the tourniquet and reassess before reapplying it.
