Published in AEMT, EMR. Tags: geriatrics.
Assessment of the geriatric trauma patient is unique, and this population requires special attention. As the elderly population increases, the number of geriatric trauma patients also rises. Age-related changes can make caring for geriatric patients challenging and places them at greater risk of morbidity and mortality. Geriatric patients often suffer from mild to severe cognitive […]
Published in AEMT, EMT. Tags: multi system trauma.
Injury to the Head (Brain and Maxillofacial Injury) Injury to the superficial regions of the brain is explained by these linear principles; however, injury to the deep structures of the brain, such as diffuse axonal injury (DAI), is more complicated. Several authors have tried to explain DAI as a result of shear strain between different […]
Published in AEMT, EMT. Tags: multi system trauma.
Blast injuries are broadly categorized as primary, secondary, tertiary, quaternary, and quinary, based on a taxonomy of explosive injuries published by the Department of Defense in 2006. The trauma practitioner should be familiar with each of these patterns of injury and be able to predict associated injuries from each category. Primary blast injuries occur when the […]
Published in AEMT. Tags: Medication Administration.
Peripheral line placement, also referred to as peripheral intravenous (IV) cannulation, is the insertion of an indwelling single-lumen plastic conduit across the skin into a peripheral vein. Such devices may be referred to as peripheral IV (or venous) lines, cannulas, or catheters. They allow fluids, medications and other therapies such as blood products to be introduced directly into the […]
Published in AEMT. Tags: endocrine.
Hyperosmolar hyperglycemic syndrome (HHS) is a clinical condition that arises from a complication of diabetes mellitus. This problem is most commonly seen in type 2 diabetes. They described patients with diabetes mellitus with profound hyperglycemia and glycosuria without the classic Kussmaul breathing or acetone in the urine seen in diabetic ketoacidosis. This clinical condition was […]
Published in AEMT. Tags: pediatrics.
Pediatric and neonatal resuscitation involves algorithmic approaches to achieving the return of spontaneous circulation (ROSC) that is similar to adult cardiorespiratory resuscitation but requires special considerations in terms of differential diagnoses, medication dosing, procedures, and continuation of care that makes this subject dissimilar. Anatomy and Physiology Neonatal and pediatric patients differ from adults, both anatomically […]
Published in AEMT. Tags: geriatrics.
With age, health-related comorbidities increase. Aging contributes to significant functional changes in organ systems and results in decreased homeostatic capacity. Aging also affects body composition, increased volume of distribution for fat-soluble drugs, reduced clearance of multiple medications. The ongoing changes in the body’s physiology with aging are associated with an increased risk of adverse reactions […]
Published in AEMT. Tags: obstetrics.
Vaginal delivery is safest for the fetus and the mother when the newborn is full-term at the gestational age of 37 to 42 weeks. Vaginal delivery is preferred considering the morbidity and the mortality associated with operative cesarean births has increased over time. Approximately 80% of all singleton vaginal deliveries are at full-term via spontaneous […]
Published in AEMT. Tags: pediatrics.
Bacterial tracheitis (BT), also known as bacterial croup or laryngotracheobronchitis, was first described in medical literature in the 1920s, despite the name not being coined until the 1970s. Bacterial tracheitis is a potentially lethal infection of the subglottic trachea. It is often a secondary bacterial infection preceded by a viral infection affecting children, most commonly […]
Published in AEMT. Tags: shock and resuscitation.
Sepsis syndromes span a clinical continuum with variable prognoses. Septic shock, the most severe complication of sepsis, carries high mortality. In response to an inciting agent, pro-inflammatory and anti-inflammatory arms of the immune system are activated in concert with the activation of monocytes, macrophages, and neutrophils that interact with the endothelium through pathogen recognition receptors […]