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Evidence deficit for burns formulas and fluid type – ANZBA recommends parklands formula in adults using Hartmanns

by acemexamadmin | May 23, 2020 | Uncategorized

4ml/kg/tbsa has been the standard formula used in most ed settings in Australia and ANZBA has further endorsed this for adults. Most Paediatric centres in Australia actually suggest 2 or 3 ml/kg / tbsa – which is a modified formula Hartmanns is the suggested...

Assessment in ED – focus on the key consultant dilemmas and the goals of assessment

by acemexamadmin | May 23, 2020 | Uncategorized

Management in ED – know the key consultant issues, goals of management and remember DRS ABCDE. When considering RSI – think : HHAARRMMS and the P’s. When ventilating – use a ppv, lung protective or obstructive strategy.

by acemexamadmin | May 23, 2020 | Uncategorized

Myasthenic crisis in ED- check the negative inspiratory pressure (<25) and Fvc (15L/kg)

by acemexamadmin | May 23, 2020 | Uncategorized

Myasthenic patients may present to ED with shortness of breath without obvious signs of distress ( because resp accessory muscles are weak and fatiguing !) Common precipitants are infections and antibiotics or other meds – sometimes disease course Measure the...

Abnormal Uterine Bleeding – causes classified by PALM COEIN – Polyp – Adenomyosis- Leiomyoma – Malignancy – Coagulation – Ovulatory – Endometrial – Iatrogenic – not classified

by acemexamadmin | May 23, 2020 | Uncategorized

ACOG 2011 updated their approach to classification of abnormal uterine bleeding in non pregnant patients. PALM – structural vs COEIN – nonstructural.
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