Archive | September 2010
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Primary Blast Injury (PBI)
Primary Blast Injury (PBI) General Management Respiratory System Arterial Air Emboli G.I. System Auditory System General Management 1. Initiate life support 2. Hx: distance from explosion, underwater or in enclosure 3. PE: ruptured tympanic membrane; retinal air emboli; SQ emphysema; ecchymoses 4. CBC, CXR, CT chest, abdomen, head if H&P suggests pathology 5. Limit physical […]
Radiation Exposure
Radiation Exposure Exposure Levels Exposure Risks Management Specimen Collection Decontamination Exposure Levels 1. Rad (radiation absorbed dose): special unit of absorbed dose 2. Rem (roetgen equivalent man): Biologic effect of radiation Unit of radiation dose equivalent Equal to absorbed dose in rads x relative biologic effectiveness of radiation in question 3. Gy: measures absorbed dose […]
Chemical Agent ID/Detection
Chemical Agent ID/Detection M8 M9 M256A1 CAM M8A1 M272 M258A1 M291 M295 Paper, CM Agent Detector: M8 1. Identifys type of agent present in liquid form on battlefield 2. Takes 30 secs; false positive with insecticides, petroleum, antifreeze Paper, CM Agent Detector: M9 1. Detects presence of liquid agent, but doesn’t identify specific agent or […]
CHAPTER 9 NURSING HOME CARE
CHAPTER 9 NURSING HOME CARE Practice of Geriatrics CHAPTER 9 NURSING HOME CARE Paul R. Katz, M.D. Historical Perspective Scope of Nursing Home Care Who Pays for Nursing Home Care? The Decision to Institutionalize Length of Stay The Acute Care–Long-Term Care Interface Health Care Delivery in the Nursing Home: Staffing Issues The Role of the […]
Riot Control Agents (CS, CN)
Riot Control Agents (CS, CN) Diagnosis 1. Burning and pain on mucous membranes and skin, eye pain and tearing, tingling of exposed skin 2. Burning in nostrils, respiratory discomfort, bronchospasm (may be delayed 36 hrs) 3. No detection method 4. No specific lab tests History 1. Used in France before WWI; first chemical agents deployed […]
CHAPTER 8 ACUTE CARE
CHAPTER 8 ACUTE CARE Practice of Geriatrics SECTION II SYSTEMS OF CARE IN GERIATRIC PRACTICE CHAPTER 8 ACUTE CARE Robert Marshall Palmer, M.D., M.P.H. Aging and Hospitalization Geriatric Syndromes: Detection and Management Patient Values and Comfort Interdisciplinary Collaboration Whereas hospitalization offers older patients the potential benefits of specialty consultation and advances in medical technology, it […]
CHAPTER 7 DRIVING
CHAPTER 7 DRIVING Practice of Geriatrics CHAPTER 7 DRIVING David B. Reuben, M.D. Pathophysiology Clinical Assessment Management The population of older drivers is rapidly increasing. Between 1984 and 1994, the number of licensed drivers 70 years of age or older increased by 45% to 15.7 million.1 Moreover, the rate of increase will rise dramatically as […]
