New to Meducation?
Sign up
Already signed up? Log In

Category

Sinaiem dark
0
2

procedural-sedation-propofol-or-ketofol

It’s Caturday night and you have a young, healthy male in your ED who dislocates his shoulder for the first time just 30 minutes prior to arrival. He seems like the purrfect candidate to perform a reduction without sedation, and you are paws-itive you can get the joint back in its place. You give some morphine and go for it right meow. Unfortunately, no luck. He states there is too much pain. Ultrasound guru Phil Andrus is your attending so you inject lidocaine into his shoulder joint via an ultrasound-guided spinal needle. Still no success. You think to yourself: you have got to be kitten me!  
sinaiem.org
about 5 years ago
Preview
0
8

Chronic Illness and Disease Health Rant

Whether you have digestive issues, arthritis, heart disease, diabetes, joint problems, or any of the thousands of conditions out there... here's a short and ...  
youtube.com
about 5 years ago
Preview
0
10

Pain control using local anaesthetics to improve surgical results after shoulder, hip and knee replacement surgery | Cochrane

Doctors can use regional analgesia (injection of local anaesthetics near the nerves or the surgical site) rather than conventional pain control after surgery. Does this choice improve long-term function after elective major joint (knee, shoulder and hip) replacement? We conducted this systematic review to explore controversy about the use of regional analgesia amidst efforts to limit healthcare costs and demonstrate value for interventions.  
cochrane.org
about 5 years ago
Preview
2
38

Clinical Cases and Images: ClinicalCases.org: Prerenal Acute Renal Failure due to Volume Depletion

This is a good practical case and very useful for new clinicians. For any clinician:No foley catheter unless oliguric, anuric, obstructed since any catheter is a foreign body and increases infection risk.Rehydrate if U/A has high spec gavity, mucous membranes dry, or if BUN is >30 times the creatinine as in this case. Even CHF pts get dry if not in heart failure. If in doubt, do CXR, BNPT, listen for crackles.Start with 250cc IVF if BNPT not less than 150 or give carefully while checking lung bases posteriorly after each bolus along with pulse ox, etc as above. Half of pts in acute renal failure are septic. Look for and eliminate source such as pneumonia, foreign body, pyelonephritis, joint infections. May be afebrile/ low temp or low WBCs with sepsis. Do cultures, check lactate ASAP to detect sepsis BEFORE the BP drops. Lactic acid "the troponin of sepsis." If septic, give a lot of fluids (up to 10 liters often) since capillary leak syndrome will lead to severe hypotension. If septic expect edema to develop with IV boluses yet be aware pt is intravascularly depleted. No pressors without fluids "pressors are not your friend" as per lecturers on Surviving Sepsis campaign.  
clinicalcases.org
about 5 years ago
8
1
14

ten-things-you-need-to-know-about-arthritis-31441158.html

Arthritis is an inflammation of the joints which causes pain and immobility ranging from mild to severe, and, even though it affects 10 million people in the UK, we don't have a cure fo  
belfasttelegraph.co.uk
about 5 years ago
Preview
4
20

UNMC study: knee replacement viable option for rheumatoid arthritis

Kaleb Michaud, Ph.D., has for a long time listened to patients with rheumatoid arthritis (RA) talking about improved quality of life after their total joint replacements.  
medicalnewstoday.com
about 5 years ago
Preview
0
25

OMSA and CFMS Joint Message: Reduction of CMG PGY-1 Positions in Ontario

Official Website of the Canadian Federation of Medical Students (CFMS) (FEMC). Representing over 7500 medical students at 14 member schools across Canada. Web Development: Nima Kashani  
cfms.org
about 5 years ago
4
0
12

Yorkshire Foot and Ankle Clinic

Specialising in all aspects of foot and ankle surgery Sports injuries Deformity correction Hallux valgus (bunion) surgery Tendon repairs Ligament reconstruction Joint replacement Arthroscopic (keyhole) surgery Minimally invasive surgery Revision surgery  
yorkshirefootandankleclinic.com
about 5 years ago
Preview
1
22

Comparison of propofol (an anaesthetic drug) with other drug options for sedating people undergoing painful procedures in emergency departments | Cochrane

Propofol is a drug frequently used as a general anaesthetic to sedate (calm) people for surgery in the operating theatre. It is administered into a vein. There is increasing evidence that propofol can be used outside of the operating theatre to sedate people undergoing painful procedures (e.g. when relocating a joint that is out of its normal position because of an injury) in the emergency department (ED) setting.  
cochrane.org
about 5 years ago
Www.bmj
0
7

Birth weight and later life adherence to unhealthy lifestyles in predicting type 2 diabetes: prospective cohort study

Objectives To prospectively assess the joint association of birth weight and established lifestyle risk factors in adulthood with incident type 2 diabetes and to quantitatively decompose the attributing effects to birth weight only, to adulthood lifestyle only, and to their interaction.  
feeds.bmj.com
about 5 years ago
Preview
0
12

Blunt Agonal Arrest | EMBlog Mayo Clinic

Presented at Joint Trauma Conference on December 17, 2013. Mayo Clinic, Rochester MN. Authors: Rachelle Beste, Dustin Leigh, Ashley Mar…  
emblog.mayo.edu
about 5 years ago
Preview
0
4

Flexible Silver Wire Mesh Delivers Thermotherapy to Painful Joints |

Millions of people around the world treat joint paint using a heat packs and special patches that keep the affected area warm. These can be weighty, hard t  
medgadget.com
about 5 years ago
13
1
19

Cryotherapy: How Does it Work? | Cryo-Health

Cryotherapy is relatively new form of treatment in which body is briefly exposed to extremely low temperatures in order (-120 to -160 degrees Celsius) to promote healing and other therapeutic results. Cryotherapy can help to reduce pain and muscle spasms in the body as well as reduce the swelling of injuries. Cryotherapy has also been shown to promote faster healing in joint, muscle and tendon injuries.  
Max Anderson
about 5 years ago
7
0
4

WHO | Managing contacts in the MERS-CoV outbreak in the Republic of Korea

This is a briefing note from WHO on MERS-CoV outbreak situation in the Republic of Korea: In June 2015, WHO and the Republic of Korea’s Ministry of Public Health and Welfare presented the results of their joint assessment of the MERS outbreak. The assessment led to a series of recommendations, which incorporated specific actions to halt the spread of the virus, including early and complete identification and investigation of all contacts; and robust quarantine/isolation and monitoring of all contacts and suspected cases.  
who.int
about 5 years ago
4
0
3

WHO | MERS-CoV joint mission findings discussion

This is the briefing note of the Middle East Respiratory Syndrome (MERS) outbreak in the Republic of Korea on 15 June 2015  
who.int
over 5 years ago
Preview
0
11

Massive Upper GI Bleed

This case is written by Dr. Cheryl ffrench. Dr. ffrench is an emergency physician in Winnipeg and has also served as the Emergency Department's Medical Director of Simulation since 2011. She has developed four separate simulation curricula for EM including a joint trauma simulation program with General Surgery. Why it Matters Massive upper GI bleeds…  
emsimcases.com
over 5 years ago
8
0
4

WHO | WHO and partners align on new way forward to measure impact of country health programs

Joint press release: WHO and partners align on new way forward to measure impact of country health programs  
who.int
over 5 years ago
9
0
4

WHO | WHO and the Republic of Korea to carry out joint mission for the MERS-CoV outbreak

In light of the recent outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV), WHO and the Republic of Korea’s Ministry of Health and Welfare will conduct a joint mission in the Republic of Korea. The mission comes after close consultation between WHO and the Government.  
who.int
over 5 years ago
Preview
1
19

Acute Polyarthritis type of arthritis. Acute Polyarthritis info. Patient | Patient

Acute polyarthritis has differential diagnosis & diagnostic difficulties. With acute polyarthritis oligoarthritis joints sometimes affected. Read about Acute Polyarthritis  
patient.co.uk
over 5 years ago
Preview
1
8

Arthritis-India

Pain at multiple body areas is a common problem affecting 7-13% of western population. Most studies indicate a female preponderance and association with psychological distress in these cases. Pain is usually present for many years. Generalised pain needs to be distinguished from various forms of arthritis. Pain in these conditions does not have exact localization and usually not restricted to joints. Patients may complain of pain in other areas such as bones, muscles and back. Although severity of chronic generalised or widespread pain can vary from one individual to another it does affect physical functions and emotions leading to diminished quality of life. Chronic widespread pain can occur in children too. These conditions have direct societal impact in addition to direct and indirect medical costs.Causes of Generalised PainVarious conditions can cause generalised pain. Some of these are listed below:  
arthritis-india.com
over 5 years ago