Ortho Preferred Malpractice Insurance

Ampicillin Sulbactam/Unasyn

– See: Penicillin Family / Ampicillin / Aumentin – Discussion:     – for beta lactamase producing Staph aereus, Eneterococcus, H. influenza, Klebsiella, Proteus mirablis, Bacteroides     – adult: 1.5-3 gm IM/IV q6hr (2:1 ampicillin sodium:sulbactam) adjust w/ Renal failure;     – good diffusion from blood into CSF only with inflammation;     – inflammed … Read more

Amyotrophic Lateral Sclerosis

– See: – El Escorial Revisited: Revised Criteria for the Diagnosis of Amyotrophic Lateral Sclerosis       – Disorders of Nerves:       – Anterior Horn Cell Disorders:       – ALS Society Homepage – Discussion:     – amyotrophic lateral sclerosis is a syndrome characterized by both upper and lower motor neuron … Read more

Algorithm for Treating DDH

Clinical Stage:               Clinical Findings:               Treatment:   Newborn         Dislocated                 + Ortolani                   Pavlik harness         Dislocatable       … Read more

ALGORITHM for VENTRICULAR ECTOPY

– See: Discussion V tach Acute Suppressive Therapy: Assess for Need for Acute Suppressive Rx: |________________________ r/o Treatable Causes | lidocaine, 1mg/kg | If not suppressed Procainamide 20 mg/min Until No Ectopy, or upto 1000 mg Given | If not suppressed and not contraindicated Bretylium, 5-10mg/kg over 8-10 min Once Ectopy Resolved, Maintain as Follows: … Read more

ALGORITHM for VF and PULSELESS VT

See VT/QT Widening Asystole may resemble V. fib: if ? then consider conversion. Witnessed arrest Unwitnessed arrest | | check pulse-if No PULSE – if no pulse | | precordial thump only if | defibrillator not present | | | check pulse-if No pulse | |___________________________| | 100% O2 + Ventilate w/ Mask + Suction … Read more

Amantidine

    for Parkinsonism, drug induced extrapyramidal reactions, prophylaxis of Influenza A and treatment of Influenza if seen < than 20hrs after onset of illness;; has ability to release dopamine; Adult: for drug induced etrapyradimal reactions:100 mg PO bid; for parkinsonism: 100mg PO qd initially, then may increase gradually to maximum of 400 mg qd … Read more

Amoxicillin/K+ & Clavulic acid/Augmentin

– See: penicillin family – Discussion: – combination of clavulanic acid and amoxicillin (augmentin – 250 or 500 mg of amoxicillin plus 125 mg of clavulanic acid) provides oral preparation with enhanced activity against beta-lactamase- producing strains of Staph, Branhamella catarrhalis, H. influenza, N gonorrhoeae, and bacteroides; – oral administration of amoxicillin and clavulanic acid (every … Read more

Acumed Small Bone Fixator

This lightweight, versatile, rigid fixation system provides stability in areas which would otherwise be difficult to treat, like open or comminuted injuries of the metacarpals and metatarsals. – Key features: 1. No custom pin inventory – The Acumed small bone fixator used standard K wires to gain fixation. Each housing assembly will accommodate wire sizes … Read more

Aldolase: 1.5 -12.0 micro / lit

requires about 5 ml of venous blood, pt NPO for AM blood draw. Increased: Dermatomyositis, Polymyositis, Limb girdle muscular dystrophy Chronic hepatitis, Portal cirrhosis, Obstructive jaundice (See bilirubin) Gangrene, Prostate tumors (PSA), Trichinosis, Liver mets, blood dyscrasias, delirium tremens, Burns, 20% of cancer pts. – Normal Values – Poliomyelitis, Myasthenia gravis, Multiple sclerosis, Neurogenic musclee … Read more

3. External Fixation of Upper Extremity/Lower Extremity/Periarticular Fractures with Limited Resources (no X-ray)

CPT Jessica D. Cross CPT Daniel R. Possley I. Introduction             A. External fixation may be performed in austere environment without use of fluoroscopy             B. Ideally, pins should be placed to minimize impact on future internal fixation II. Pin Placement             A. Should be performed as follows (see femoral external fixation placement video) External Fixation – Joe … Read more