By Mark Harrison
Awarded in bullet issues and in concise, notice form
High caliber diagrams and algorithms reduction revision
This is the single ebook that MCEM applicants might want to go the MCEM half A examination. This revision consultant is framed round the most up-to-date CEM syllabus, focussing on all of the parts of the examination and protecting the elemental sciences as they follow to Emergency medication. each one portion of the e-book is adapted to check assorted parts of the syllabus, permitting applicants to revise successfully and comprehensively.
This concise revision instrument is totally updated, reflecting the most recent advancements within the exam. top of the range art and a bullet-point sort aid applicants to take in details speedy.
The writer is a profitable MCEM candidate and expert Registrar in Emergency drugs, and brings his huge event to this text.
Readership: expert trainees in Emergency drugs, in addition to trainees in Acute drugs, nurses and different emergency practitioners.
Read Online or Download Revision Notes for MCEM Part A PDF
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Extra info for Revision Notes for MCEM Part A
POSTPROCEDURE CHECK Chest radiographs should be taken to confirm proper placement of the ETT (with the end at 1 cm above the carina). Tracheostomy tubes should be securely sewn into the neck skin. See Appendix B for additional helpful information. 09_Jandial-r5_033-038:Layout 1 8/2/12 3:24 PM Page 33 PART III CARDIOTHORACIC 09_Jandial-r5_033-038:Layout 1 8/2/12 3:24 PM Page 34 09_Jandial-r5_033-038:Layout 1 8/2/12 3:24 PM Page 35 9 PERICARDIOCENTESIS A 54-year-old man presents after a recent myocardial infarction with jugular venous distention, hypotension, tachycardia, and pulsus paradoxus.
Treat with serial chest radiographs to evaluate for absorption, or consider placing a central line and withdrawing the air. POSTPROCEDURE CHECK The patient should receive cardiac monitoring. See Appendix C for additional helpful information. 10_Jandial-r6_039-044:Layout 1 8/2/12 3:22 PM Page 39 10 THORACENTESIS A 61-year-old female smoker with a right pulmonary nodule presents with dyspnea and orthopnea. A chest radiograph reveals opacification of the right costophrenic recess. INDICATIONS • Pleural effusion leading to dyspnea (Fig.
9-5 Negative deflection of the QRS complex. 09_Jandial-r5_033-038:Layout 1 38 8/2/12 3:24 PM Page 38 Cardiothoracic PEARLS • Pericardiocentesis should be performed in a monitored setting. • For continuous drainage of fluid, a 16-gauge catheter can be inserted into the pericardial space using the Seldinger technique. The Seldinger technique uses the temporary insertion of a J-tip wire through the insertion needle to maintain a pathway into the pericardial space or vessel lumen. The insertion needle is removed and exchanged with the 16-gauge catheter over the J-tip wire, and the wire is subsequently removed.