Emergency Medicine

Acute LVF: Management

Submitted by saranya on Wed, 01/02/2012 - 23:24
in

" LMNOP "

  • Lasix (frusemide)
  • Morphine (diamorphine)
  • Nitrates
  • Oxygen (sit patient up)
  • Pulmonary ventilation (if doing badly)
5

Pin-point pupils: Causes

Submitted by saranya on Wed, 01/02/2012 - 00:25
in

 " CPR ON SLIME "

  • Clonidine
  • Phenothiazines
  • Rest (deep sleep)
  • Opiates
  • Narcotics
  • Stroke (pontine hemorrhage)
  • Lomotil (diphenoxylate)
  • Insecticides
  • Mushrooms/ Muscarine  (esp. Inocybe, Clitocybe genera)
  • Eye drops

Can also be used to remember causes of Miosis. 

5

Dialysis: Absolute indications

Submitted by saranya on Tue, 31/01/2012 - 23:54
in

" A.E.I.O.U "

 

  • Acidosis: intractable metabolic acidosis
  • Electrolytes: severe persistent hyperkalemia
  • Intoxication: menthol, ethylene, glycol, lithium, aspirin
  • Overload: hypervolemia (not managed by other means)
  • Uremia: based on clinical presentation (like uremic pericarditis)

4

ECG: Serial evolution in MI

Submitted by Nishanth_koda on Wed, 20/07/2011 - 23:30
in

 "NaSTE LoseR QT"

Read as 'Nasty loser quit!'

From Normal to,

  • ST Elevation
  • Loss of R waves
  • Q waves develop along with T inversion
Q waves representing coagulative necrosis of myocardium develops in 24-48 hours.
Transmural infarction is the most common type of infarction. It involves ischemic necrosis of more than 50% of myocardial wall.
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