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The medical literature on 3 vs 4 sided is dubious at best. Seal it, preferably with a commerical vented chest seal, then decompress. Auscultation may tell you which side needs to be decompressed, but this may required bilateral needle thoracostomy/ finger thoracostomy
Research says normotension is what we should do.
You lost me at global warming!😂
Compensated?
BP 84/53 seems fairly decompensated
Love It!
The goal would be 120-130 over 80 administering norepinephrine should work? Other than that thermal regulation and something for the tachycardia
This tahycardy is a compensatory mechanism here. You do not lower the pulse rate. You need volume resustitation and probably until you stabilise the patient - a vasoconstrictor infusion.Airway must be secured. Source of bleeding must be found and isolated,until bleeding is stopped ,a lower BP of 80/50 may be required.
@@miroslavkozarov8803 oh okay thank you!!!! :)
Epi
B
Excellent information.
This was great
3rd degree block. Atropine?
You need more information. A) if allergic reaction causing anaphylaxis B) if heart has stopped C) If poisoning is a consideration D) if diabetic and blood sugars are low. D is most likely the answer without further information.
Kid's O2 sat is 97%. I would be moving on to something else. HR of 40 is a concern. BP for peds 70 + 2x age = 74 systolic. Kid is in shock at 70 systolic. HR is likely causing the low BP. Atropine will speed up the HR and hopefully increase the BP.
Increased surfactant from lungs
C
@masteryourmedics…when are you going to post your answer on this? Thanks!
Can you use nitro stand alone if CPAP isn’t immediately available until a transport arrives?
Could you do one on why its a bad idea to have a person with lower back issues laying on their baxk for an mri? They had me laying in there for an hour and my back was seizing and trying to settle, but i have an anterior pelvic tilt that is stuck that way, so they said i moved too much and it was blurry
Decompensated hypovolemic shock .
Yup
Great explanation, had trouble understanding alot of the "but why" questions before this video.
AMS, hemodynamically unstable.... HR is not consistent.... seems septic.... fluids
TCA overdose = sodium bicarb
3 sided for the chest, 4 sided for the abd.
Hemopneumothorax
thank you, very helpful and clear👍👍
Push adenosine
CPAP. Rales would make albuterol a possible mistake. Could get pulmonary edema from it. Not a shark fin shape on the ETCO2 either.
Have someone hold C spine Stick in an OPA - look for FBO (teeth, food bolus) first Suction if necessary. Breathe for him and put O2 on it. He has a head bleed and is beginning to herniate. Cushing triad. Decision: Load and go! Or call a bird. Go to level 1 trauma center. So put a C collar on and put him on LSB and get him in the truck if you're transporting. Keep him warm. Got to keep his head elevated due to ICP and with a LSB, this means reverse trendelenburg. Should intubate and need to keep EtCO2 between 35-40 mmHg. If intubation not possible due to body habitus or other reasons put a LMA or igel. If you gotta knock them out for this better have 98-100% SpO2. I guess you could denitrogenate now and have the stuff ready in case they go unconscious If there is time and sufficient hands going down the road you could get an IV and give 250 mL of 3% saline, if you have it in your kit. I hope I got that right. Baby medic
Get bilateral IV's, start 150 mg amio which is a 10 minute drip; then after you start that, give 150 mL 8.4% bicarb in the other arm? Cardioverting with joules isn't going to fix the H&T cause. I'm not sure amio will help either, but it's protocol and it will block multiple ion channels. Now it's gonna block sodium channels too but the bicarb has sodium. Maybe I'm thinking too hard.
Can you do a video explaining how can an alantodental fracture happen in a rear end car accident?
Shouldn’t the seat belts stop you from hitting the steering wheel? Do you have more information on this type of injury?
Inferior STEMI. Most of the time we don't give Nitro for this.
Fentanyl
La opción A
I keep trying to find your books and can't find them?!!
Is this scenario book for als only?
Georgia
300mg amio first. Then in between do a dose of bicarbonate , after bicarbonate push should be time for round 2 of amiodarone ? Medic student