The document discusses proper medication administration procedures for paramedics. It outlines the 10 rights of drug administration and various routes of administration including intravenous, enteral, parenteral, percutaneous, and others. Precautions are discussed for obtaining medications, administering injections via different routes, and documenting care.
Dental Implant 1 /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Clinical, ethical and legal considerations in the treatment of newborns 2008Dominique Gross
Non-ketotic hyperglycinaemia (NKH) is a devastating neurometabolic disorder leading, in its classical form, to early death or severe disability and poor quality of life in survivors. Affected neonates may need ventilatory support during a short period of respiratory depression. The transient dependence on ventilation dictates urgency in decision-making regarding withdrawal of therapy.
The occurrence of patients with apparent transient forms of the disease, albeit rare, adds uncertainty to the prediction of clinical outcome and dictates that the current practice of withholding or withdrawing therapy in these neonates be reviewed. Both bioethics and law take the view that treatment decisions should be based on the best interests of the patient.
The medical-ethics approach is based on the principles of non-maleficence, beneficence, autonomy and justice. The law relating to withholding or withdrawing life-sustaining treatment is complex and varies between jurisdictions. Physicians treating newborns with NKH need to provide families with accurate and complete information regarding the disease and the relative probability of possible outcomes of the neonatal presentation and to explore the extent to which family members are willing to take part in the decision making process. Cultural and religious attitudes, which may potentially clash with bioethical and juridical principles, need to be considered.
2008 Elsevier Inc
This document is a resume for Kristina M. Stallard, MS, RN. She is seeking a full time Family Nurse Practitioner position in Southwest Ohio. She has a Masters of Nursing degree from Wright State University and over 5 years of nursing experience. Her clinical experience includes women's health, pediatrics, adult health, retail health, and family practice. She has additional experience as a registered nurse in infusion services, gynecology/oncology, and medical imaging.
This document summarizes a bioethics case discussion involving a 68-year-old female patient with metastatic lung cancer. The patient was admitted for pneumonia and influenza and experienced a complex clinical course involving recurrent infections, malnutrition, and declining functional status. Discussions with family focused on unclear goals of care and difficulty accepting a transition to comfort measures. An ethics consult recommended a one-week trial of aggressive care with clear outcomes to help guide decision making. After the trial failed and a deathbed visit from her son, the family agreed to transition to comfort care, where the patient later passed away. The document reviews key challenges, outcomes, and bioethics considerations around medically appropriate treatment and incorporating patient perspectives when decisional capacity is lacking
This document discusses ethical considerations and guidelines around initiating or withdrawing dialysis for patients with end-stage renal disease (ESRD). It outlines common principles of ethical decision making including beneficence, non-maleficence, patient autonomy, and justice. Features unique to ESRD patients include the chronicity of artificial survival methods, complexity of their conditions, and long-term burdens of treatment. The document also presents a case study and recommendations from the National Kidney Foundation around dialysis decisions based on patient values and medical usefulness of treatment.
Initial Treatment of Respiratory Distress Syndrome with Nasal IntermittentMan...amir mohammad Armanian
This randomized controlled trial compared the outcomes of nasal intermittent mandatory ventilation (NIMV) versus nasal continuous positive airway pressure (NCPAP) as the initial treatment for respiratory distress syndrome (RDS) in very preterm infants. 98 infants were assigned to either the NIMV group (44 infants) or the NCPAP group (54 infants). The duration of noninvasive respiratory support and oxygen dependency were both significantly shorter in the NIMV group compared to the NCPAP group. Additionally, time to full enteral feeds and length of hospital stay were more favorable in the NIMV group. Initial treatment with NIMV was found to be safe, well-tolerated, and resulted in reduced treatment duration
Dental Implant 1 /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Clinical, ethical and legal considerations in the treatment of newborns 2008Dominique Gross
Non-ketotic hyperglycinaemia (NKH) is a devastating neurometabolic disorder leading, in its classical form, to early death or severe disability and poor quality of life in survivors. Affected neonates may need ventilatory support during a short period of respiratory depression. The transient dependence on ventilation dictates urgency in decision-making regarding withdrawal of therapy.
The occurrence of patients with apparent transient forms of the disease, albeit rare, adds uncertainty to the prediction of clinical outcome and dictates that the current practice of withholding or withdrawing therapy in these neonates be reviewed. Both bioethics and law take the view that treatment decisions should be based on the best interests of the patient.
The medical-ethics approach is based on the principles of non-maleficence, beneficence, autonomy and justice. The law relating to withholding or withdrawing life-sustaining treatment is complex and varies between jurisdictions. Physicians treating newborns with NKH need to provide families with accurate and complete information regarding the disease and the relative probability of possible outcomes of the neonatal presentation and to explore the extent to which family members are willing to take part in the decision making process. Cultural and religious attitudes, which may potentially clash with bioethical and juridical principles, need to be considered.
2008 Elsevier Inc
This document is a resume for Kristina M. Stallard, MS, RN. She is seeking a full time Family Nurse Practitioner position in Southwest Ohio. She has a Masters of Nursing degree from Wright State University and over 5 years of nursing experience. Her clinical experience includes women's health, pediatrics, adult health, retail health, and family practice. She has additional experience as a registered nurse in infusion services, gynecology/oncology, and medical imaging.
This document summarizes a bioethics case discussion involving a 68-year-old female patient with metastatic lung cancer. The patient was admitted for pneumonia and influenza and experienced a complex clinical course involving recurrent infections, malnutrition, and declining functional status. Discussions with family focused on unclear goals of care and difficulty accepting a transition to comfort measures. An ethics consult recommended a one-week trial of aggressive care with clear outcomes to help guide decision making. After the trial failed and a deathbed visit from her son, the family agreed to transition to comfort care, where the patient later passed away. The document reviews key challenges, outcomes, and bioethics considerations around medically appropriate treatment and incorporating patient perspectives when decisional capacity is lacking
This document discusses ethical considerations and guidelines around initiating or withdrawing dialysis for patients with end-stage renal disease (ESRD). It outlines common principles of ethical decision making including beneficence, non-maleficence, patient autonomy, and justice. Features unique to ESRD patients include the chronicity of artificial survival methods, complexity of their conditions, and long-term burdens of treatment. The document also presents a case study and recommendations from the National Kidney Foundation around dialysis decisions based on patient values and medical usefulness of treatment.
Initial Treatment of Respiratory Distress Syndrome with Nasal IntermittentMan...amir mohammad Armanian
This randomized controlled trial compared the outcomes of nasal intermittent mandatory ventilation (NIMV) versus nasal continuous positive airway pressure (NCPAP) as the initial treatment for respiratory distress syndrome (RDS) in very preterm infants. 98 infants were assigned to either the NIMV group (44 infants) or the NCPAP group (54 infants). The duration of noninvasive respiratory support and oxygen dependency were both significantly shorter in the NIMV group compared to the NCPAP group. Additionally, time to full enteral feeds and length of hospital stay were more favorable in the NIMV group. Initial treatment with NIMV was found to be safe, well-tolerated, and resulted in reduced treatment duration
The document discusses different types of injections including intravenous, intramuscular, subcutaneous and intradermal injections. It defines injections, lists the rights of medication administration, and outlines the general preparation, equipment, sites, and procedures for various injections. The purpose is to educate students on properly administering different injections and ensuring medication safety.
Drug administration is an important but dangerous duty for medical assistants. They must understand pharmacology principles, fundamentals of administration including various routes, dosage calculations, and the seven rights of medication administration. When preparing to administer a drug, medical assistants must pay close attention to dose, route, form and follow rules like preparing in a well-lit area, properly identifying the patient, having the physician in office, observing the patient after, and documenting properly. Special considerations must be made for pediatric, pregnant, breastfeeding and elderly patients due to alterations in drug metabolism and absorption. Proper documentation of drug administration in the patient's chart is also essential.
This document discusses medication orders and administration. It covers the rights of medication administration, interpreting physician orders, medication administration records, and reference materials. Key points include the basic rights being right patient, right drug, right dose, right time, right technique, and right documentation. Physician orders must include patient name, drug, dosage, route, frequency and prescriber information. Medication administration records must match orders and allow documentation of each dose given. Reference materials help ensure safe medication practices.
This document discusses principles of medication administration including aseptic technique, the six rights of drug administration, various routes of administration including oral, parenteral, pulmonary, and others. It provides information on different types of medication packaging and delivery systems as well as guidelines for properly administering medications through different routes to ensure safety and effectiveness.
This document provides guidelines for safely administering IV therapy and IV medications. It outlines the 10 golden rules for administering drugs safely, including administering the right drug to the right patient at the right dose and time. It then details the proper procedures for setting up an IV, inserting an IV cannula, discontinuing an IV infusion, and incorporating IV medications into the IV line or bottle. The overall aim is to protect patients and avoid medication errors by carefully following these protocols at each step of IV administration and therapy.
This document provides information on various aspects of medication administration in a nursing context. It discusses definitions of key terms, indications for drug use, routes of administration including oral, topical, intravenous, intramuscular and more. It also covers assessing patients, drug orders, rights of medication administration, policies, guidelines and procedures for safely preparing and giving different types of medications to patients.
The document discusses abdominal trauma, providing details on abdominal anatomy, injury mechanisms, and pathophysiology. It describes the abdomen as a large cavity containing many vital organs. Injuries can be penetrating or blunt, damaging hollow organs, solid organs, blood vessels, and other structures. Specific injuries include ruptures, leaks, bleeding, and inflammation. Uncontrolled hemorrhage and bacterial spillage pose serious risks.
Medicines For Respiratory Diseases
Apneas: Types, Their Measurement, Epidemiology, and Economics
Dronabinol: Breakthrough Treatment for Obstructive Sleep
Apnea
"Breath is the universal factor of life. We are born the first time we inspire, and we die the last time we expire. Breath is life itself. In Sanskrit, the same word means both breath and life."
Abbot George Burke
GEMC: “Taming the Wild Child” - Pearls, Pitfalls and Controversies in Pediatr...Open.Michigan
1. The document discusses pearls, pitfalls, and controversies regarding procedural sedation and analgesia in pediatrics. It reviews myths and truths about pediatric pain and sedation techniques.
2. Non-pharmacological options for pain control and sedation are emphasized, including topical anesthetics, sucrose, distraction, parental presence, and protective restraint if needed. Proper monitoring and equipment for sedation are also reviewed.
3. Common sedation medications for procedures like fractures are discussed, including controversies around adjunctive medications with ketamine and routes of administration. IV ketamine is preferred to IM when possible due to risks of longer
A breif presentation on the use of medicines for managing pediatric patients in dental office, putting emphasis on nitrous oxide sedation and general anaesthesia, the most commonly used ones.
CLINICAL PRACTICE GUIDELINEClinical Practice Guideline Th.docxclarebernice
CLINICAL PRACTICE GUIDELINE
Clinical Practice Guideline: The Diagnosis, Management,
and Prevention of Bronchiolitis
abstract
This guideline is a revision of the clinical practice guideline, “Diagnosis
and Management of Bronchiolitis,” published by the American Academy
of Pediatrics in 2006. The guideline applies to children from 1 through
23 months of age. Other exclusions are noted. Each key action state-
ment indicates level of evidence, benefit-harm relationship, and level
of recommendation. Key action statements are as follows: Pediatrics
2014;134:e1474–e1502
DIAGNOSIS
1a. Clinicians should diagnose bronchiolitis and assess disease se-
verity on the basis of history and physical examination (Evidence
Quality: B; Recommendation Strength: Strong Recommendation).
1b. Clinicians should assess risk factors for severe disease, such as
age less than 12 weeks, a history of prematurity, underlying car-
diopulmonary disease, or immunodeficiency, when making decisions
about evaluation and management of children with bronchiolitis
(Evidence Quality: B; Recommendation Strength: Moderate Rec-
ommendation).
1c. When clinicians diagnose bronchiolitis on the basis of history and
physical examination, radiographic or laboratory studies should
not be obtained routinely (Evidence Quality: B; Recommendation
Strength: Moderate Recommendation).
TREATMENT
2. Clinicians should not administer albuterol (or salbutamol) to in-
fants and children with a diagnosis of bronchiolitis (Evidence Qual-
ity: B; Recommendation Strength: Strong Recommendation).
3. Clinicians should not administer epinephrine to infants and children
with a diagnosis of bronchiolitis (Evidence Quality: B; Recommen-
dation Strength: Strong Recommendation).
4a. Nebulized hypertonic saline should not be administered to in-
fants with a diagnosis of bronchiolitis in the emergency depart-
ment (Evidence Quality: B; Recommendation Strength: Moderate
Recommendation).
4b. Clinicians may administer nebulized hypertonic saline to infants
and children hospitalized for bronchiolitis (Evidence Quality: B;
Recommendation Strength: Weak Recommendation [based on ran-
domized controlled trials with inconsistent findings]).
Shawn L. Ralston, MD, FAAP, Allan S. Lieberthal, MD, FAAP,
H. Cody Meissner, MD, FAAP, Brian K. Alverson, MD, FAAP, Jill E.
Baley, MD, FAAP, Anne M. Gadomski, MD, MPH, FAAP,
David W. Johnson, MD, FAAP, Michael J. Light, MD, FAAP,
Nizar F. Maraqa, MD, FAAP, Eneida A. Mendonca, MD, PhD,
FAAP, FACMI, Kieran J. Phelan, MD, MSc, Joseph J. Zorc, MD,
MSCE, FAAP, Danette Stanko-Lopp, MA, MPH, Mark A.
Brown, MD, Ian Nathanson, MD, FAAP, Elizabeth
Rosenblum, MD, Stephen Sayles III, MD, FACEP, and Sinsi
Hernandez-Cancio, JD
KEY WORDS
bronchiolitis, infants, children, respiratory syncytial virus,
evidence-based, guideline
ABBREVIATIONS
AAP—American Academy of Pediatrics
AOM—acute otitis media
CI—confidence interval
ED—emergency department
KAS—Key Action Statement
LOS—length of stay
MD—mean d ...
You've wanted to understand how good oral health contributes to good health. This presentation is filled with scientific proofs and ways to use the science.
Talk to your dental hygienist or contact the author of this presentation for more information on how to make your health better by improving oral health.
Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bro...mandar haval
This clinical practice guideline provides recommendations for the diagnosis, management, and prevention of bronchiolitis in children aged 1-23 months. Key recommendations include:
1) Clinicians should diagnose bronchiolitis based on history and physical exam alone and not obtain radiographic or laboratory tests routinely.
2) Medications such as albuterol, epinephrine, systemic corticosteroids, and antibiotics should not be administered for bronchiolitis treatment unless a bacterial infection is suspected.
3) Palivizumab should be administered during the RSV season to high-risk infants for bronchiolitis prevention. Hand hygiene and avoiding tobacco smoke are also recommended for prevention.
This document discusses best practices for pediatric airway management. It begins by outlining differences between pediatric and adult airways that make intubation more challenging in children, such as a prominent occiput, cephalad larynx, large tongue, and elliptical larynx. Predictors of difficult pediatric intubation are identified as age under 1, congenital anomalies, low BMI, and history of difficult intubation. The document then reviews optimal pre-oxygenation, induction agents like ketamine and etomidate, paralytics like rocuronium, and equipment like microcuffed tubes and video laryngoscopy that can facilitate intubation. Common pitfalls like inadequate sedation and aggressive bag-mask ventilation are
MedicalResearch.com: Medical Research Interviews Month in ReviewMarie Benz MD FAAD
MedicalResearch.com powerpoint of exclusive interviews with medical researchers from NEJM, JAMA, BMJ, The Lancet and other major and specialty medical journals.
This document provides guidelines for training in pediatric gastroenterology fellowship programs. It summarizes the key changes and considerations in the field that necessitated updating training guidelines, including advances in medical knowledge, emphasis on competencies and outcomes-based education, lifestyle and duty hour changes, and the evolving healthcare system. The document reviews existing guidelines that were consulted in developing the new NASPGHAN guidelines. It describes the unique characteristics of pediatric gastroenterology and outlines the core competencies that fellowship training must address according to accrediting bodies like ACGME and RCPSC.
This document provides an overview and table of contents for "The Partners In Health Manual of Ultrasound for Resource Limited Settings." It was edited by Sachita P Shah and Daniel D Price and contains chapters on fundamentals of ultrasound, trauma, echocardiography, obstetrics, liver, gallbladder, spleen, kidney, abdominal aortic aneurysm, deep venous thrombosis, volume status, bladder, skin, procedures, and vascular access. It is intended as a resource for healthcare providers using point-of-care ultrasound in resource-limited settings.
Family physicians and primary care are essential for strong healthcare systems and improved population health outcomes. Studies from numerous countries have shown that greater emphasis on primary care, through measures like increased primary care physician supply and comprehensive primary health services, is associated with lower costs, reduced health inequities, decreased preventable hospitalizations, and lower mortality rates. In contrast, reliance on specialist care has been linked to higher costs and greater mortality. Strong primary healthcare should be the foundation of any national health system.
This document summarizes guidelines developed by the Task Force on Hypertension in Pregnancy for the diagnosis and management of hypertensive disorders during pregnancy. The guidelines are intended to be adapted based on local needs and resources. Variations are encouraged to improve patient care. The guidelines provide a framework on which local standards of care can be built. They aim to help healthcare providers diagnose and treat conditions like preeclampsia and eclampsia according to current best practices and translate recent research findings into clinical practice.
The document discusses different types of injections including intravenous, intramuscular, subcutaneous and intradermal injections. It defines injections, lists the rights of medication administration, and outlines the general preparation, equipment, sites, and procedures for various injections. The purpose is to educate students on properly administering different injections and ensuring medication safety.
Drug administration is an important but dangerous duty for medical assistants. They must understand pharmacology principles, fundamentals of administration including various routes, dosage calculations, and the seven rights of medication administration. When preparing to administer a drug, medical assistants must pay close attention to dose, route, form and follow rules like preparing in a well-lit area, properly identifying the patient, having the physician in office, observing the patient after, and documenting properly. Special considerations must be made for pediatric, pregnant, breastfeeding and elderly patients due to alterations in drug metabolism and absorption. Proper documentation of drug administration in the patient's chart is also essential.
This document discusses medication orders and administration. It covers the rights of medication administration, interpreting physician orders, medication administration records, and reference materials. Key points include the basic rights being right patient, right drug, right dose, right time, right technique, and right documentation. Physician orders must include patient name, drug, dosage, route, frequency and prescriber information. Medication administration records must match orders and allow documentation of each dose given. Reference materials help ensure safe medication practices.
This document discusses principles of medication administration including aseptic technique, the six rights of drug administration, various routes of administration including oral, parenteral, pulmonary, and others. It provides information on different types of medication packaging and delivery systems as well as guidelines for properly administering medications through different routes to ensure safety and effectiveness.
This document provides guidelines for safely administering IV therapy and IV medications. It outlines the 10 golden rules for administering drugs safely, including administering the right drug to the right patient at the right dose and time. It then details the proper procedures for setting up an IV, inserting an IV cannula, discontinuing an IV infusion, and incorporating IV medications into the IV line or bottle. The overall aim is to protect patients and avoid medication errors by carefully following these protocols at each step of IV administration and therapy.
This document provides information on various aspects of medication administration in a nursing context. It discusses definitions of key terms, indications for drug use, routes of administration including oral, topical, intravenous, intramuscular and more. It also covers assessing patients, drug orders, rights of medication administration, policies, guidelines and procedures for safely preparing and giving different types of medications to patients.
The document discusses abdominal trauma, providing details on abdominal anatomy, injury mechanisms, and pathophysiology. It describes the abdomen as a large cavity containing many vital organs. Injuries can be penetrating or blunt, damaging hollow organs, solid organs, blood vessels, and other structures. Specific injuries include ruptures, leaks, bleeding, and inflammation. Uncontrolled hemorrhage and bacterial spillage pose serious risks.
Medicines For Respiratory Diseases
Apneas: Types, Their Measurement, Epidemiology, and Economics
Dronabinol: Breakthrough Treatment for Obstructive Sleep
Apnea
"Breath is the universal factor of life. We are born the first time we inspire, and we die the last time we expire. Breath is life itself. In Sanskrit, the same word means both breath and life."
Abbot George Burke
GEMC: “Taming the Wild Child” - Pearls, Pitfalls and Controversies in Pediatr...Open.Michigan
1. The document discusses pearls, pitfalls, and controversies regarding procedural sedation and analgesia in pediatrics. It reviews myths and truths about pediatric pain and sedation techniques.
2. Non-pharmacological options for pain control and sedation are emphasized, including topical anesthetics, sucrose, distraction, parental presence, and protective restraint if needed. Proper monitoring and equipment for sedation are also reviewed.
3. Common sedation medications for procedures like fractures are discussed, including controversies around adjunctive medications with ketamine and routes of administration. IV ketamine is preferred to IM when possible due to risks of longer
A breif presentation on the use of medicines for managing pediatric patients in dental office, putting emphasis on nitrous oxide sedation and general anaesthesia, the most commonly used ones.
CLINICAL PRACTICE GUIDELINEClinical Practice Guideline Th.docxclarebernice
CLINICAL PRACTICE GUIDELINE
Clinical Practice Guideline: The Diagnosis, Management,
and Prevention of Bronchiolitis
abstract
This guideline is a revision of the clinical practice guideline, “Diagnosis
and Management of Bronchiolitis,” published by the American Academy
of Pediatrics in 2006. The guideline applies to children from 1 through
23 months of age. Other exclusions are noted. Each key action state-
ment indicates level of evidence, benefit-harm relationship, and level
of recommendation. Key action statements are as follows: Pediatrics
2014;134:e1474–e1502
DIAGNOSIS
1a. Clinicians should diagnose bronchiolitis and assess disease se-
verity on the basis of history and physical examination (Evidence
Quality: B; Recommendation Strength: Strong Recommendation).
1b. Clinicians should assess risk factors for severe disease, such as
age less than 12 weeks, a history of prematurity, underlying car-
diopulmonary disease, or immunodeficiency, when making decisions
about evaluation and management of children with bronchiolitis
(Evidence Quality: B; Recommendation Strength: Moderate Rec-
ommendation).
1c. When clinicians diagnose bronchiolitis on the basis of history and
physical examination, radiographic or laboratory studies should
not be obtained routinely (Evidence Quality: B; Recommendation
Strength: Moderate Recommendation).
TREATMENT
2. Clinicians should not administer albuterol (or salbutamol) to in-
fants and children with a diagnosis of bronchiolitis (Evidence Qual-
ity: B; Recommendation Strength: Strong Recommendation).
3. Clinicians should not administer epinephrine to infants and children
with a diagnosis of bronchiolitis (Evidence Quality: B; Recommen-
dation Strength: Strong Recommendation).
4a. Nebulized hypertonic saline should not be administered to in-
fants with a diagnosis of bronchiolitis in the emergency depart-
ment (Evidence Quality: B; Recommendation Strength: Moderate
Recommendation).
4b. Clinicians may administer nebulized hypertonic saline to infants
and children hospitalized for bronchiolitis (Evidence Quality: B;
Recommendation Strength: Weak Recommendation [based on ran-
domized controlled trials with inconsistent findings]).
Shawn L. Ralston, MD, FAAP, Allan S. Lieberthal, MD, FAAP,
H. Cody Meissner, MD, FAAP, Brian K. Alverson, MD, FAAP, Jill E.
Baley, MD, FAAP, Anne M. Gadomski, MD, MPH, FAAP,
David W. Johnson, MD, FAAP, Michael J. Light, MD, FAAP,
Nizar F. Maraqa, MD, FAAP, Eneida A. Mendonca, MD, PhD,
FAAP, FACMI, Kieran J. Phelan, MD, MSc, Joseph J. Zorc, MD,
MSCE, FAAP, Danette Stanko-Lopp, MA, MPH, Mark A.
Brown, MD, Ian Nathanson, MD, FAAP, Elizabeth
Rosenblum, MD, Stephen Sayles III, MD, FACEP, and Sinsi
Hernandez-Cancio, JD
KEY WORDS
bronchiolitis, infants, children, respiratory syncytial virus,
evidence-based, guideline
ABBREVIATIONS
AAP—American Academy of Pediatrics
AOM—acute otitis media
CI—confidence interval
ED—emergency department
KAS—Key Action Statement
LOS—length of stay
MD—mean d ...
You've wanted to understand how good oral health contributes to good health. This presentation is filled with scientific proofs and ways to use the science.
Talk to your dental hygienist or contact the author of this presentation for more information on how to make your health better by improving oral health.
Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bro...mandar haval
This clinical practice guideline provides recommendations for the diagnosis, management, and prevention of bronchiolitis in children aged 1-23 months. Key recommendations include:
1) Clinicians should diagnose bronchiolitis based on history and physical exam alone and not obtain radiographic or laboratory tests routinely.
2) Medications such as albuterol, epinephrine, systemic corticosteroids, and antibiotics should not be administered for bronchiolitis treatment unless a bacterial infection is suspected.
3) Palivizumab should be administered during the RSV season to high-risk infants for bronchiolitis prevention. Hand hygiene and avoiding tobacco smoke are also recommended for prevention.
This document discusses best practices for pediatric airway management. It begins by outlining differences between pediatric and adult airways that make intubation more challenging in children, such as a prominent occiput, cephalad larynx, large tongue, and elliptical larynx. Predictors of difficult pediatric intubation are identified as age under 1, congenital anomalies, low BMI, and history of difficult intubation. The document then reviews optimal pre-oxygenation, induction agents like ketamine and etomidate, paralytics like rocuronium, and equipment like microcuffed tubes and video laryngoscopy that can facilitate intubation. Common pitfalls like inadequate sedation and aggressive bag-mask ventilation are
MedicalResearch.com: Medical Research Interviews Month in ReviewMarie Benz MD FAAD
MedicalResearch.com powerpoint of exclusive interviews with medical researchers from NEJM, JAMA, BMJ, The Lancet and other major and specialty medical journals.
This document provides guidelines for training in pediatric gastroenterology fellowship programs. It summarizes the key changes and considerations in the field that necessitated updating training guidelines, including advances in medical knowledge, emphasis on competencies and outcomes-based education, lifestyle and duty hour changes, and the evolving healthcare system. The document reviews existing guidelines that were consulted in developing the new NASPGHAN guidelines. It describes the unique characteristics of pediatric gastroenterology and outlines the core competencies that fellowship training must address according to accrediting bodies like ACGME and RCPSC.
This document provides an overview and table of contents for "The Partners In Health Manual of Ultrasound for Resource Limited Settings." It was edited by Sachita P Shah and Daniel D Price and contains chapters on fundamentals of ultrasound, trauma, echocardiography, obstetrics, liver, gallbladder, spleen, kidney, abdominal aortic aneurysm, deep venous thrombosis, volume status, bladder, skin, procedures, and vascular access. It is intended as a resource for healthcare providers using point-of-care ultrasound in resource-limited settings.
Family physicians and primary care are essential for strong healthcare systems and improved population health outcomes. Studies from numerous countries have shown that greater emphasis on primary care, through measures like increased primary care physician supply and comprehensive primary health services, is associated with lower costs, reduced health inequities, decreased preventable hospitalizations, and lower mortality rates. In contrast, reliance on specialist care has been linked to higher costs and greater mortality. Strong primary healthcare should be the foundation of any national health system.
This document summarizes guidelines developed by the Task Force on Hypertension in Pregnancy for the diagnosis and management of hypertensive disorders during pregnancy. The guidelines are intended to be adapted based on local needs and resources. Variations are encouraged to improve patient care. The guidelines provide a framework on which local standards of care can be built. They aim to help healthcare providers diagnose and treat conditions like preeclampsia and eclampsia according to current best practices and translate recent research findings into clinical practice.
1. The document provides guidance on basic life support techniques including airway management, cardiac arrest treatment, and EKG rhythm identification.
2. It describes procedures for endotracheal intubation, use of the Combitube, King LT Airway, and Laryngeal Mask Airway for airway management.
3. For cardiac arrest, it outlines cardiac defibrillation and cardiopulmonary resuscitation (CPR) procedures, including shock doses and CPR ratios/rates for adults, children, and infants.
4. Various EKG rhythms are depicted, including ventricular fibrillation, ventricular tachycardia, asystole, and pulseless electrical activity (PEA
The home visit is a crucial responsibility of family doctors. By doing home visits the physician and the team become more aware of the nature of the illness and other factors that playing role in either increasing the burden or decreasing the severity of the disease 9Such as the home environment, the family members interactions, and others...)
Dental Procedure (Tooth extraction) During Pregnancy.pptxssuserd85ab4
During pregnancy, dental procedures like tooth extractions may be needed. While surgical procedures are generally delayed until delivery if possible, tooth extractions during pregnancy are common. It is important for dentists to be aware of the physiological changes during pregnancy that can affect dental treatment. With proper precautions and using antibiotics and local anesthetics that are considered safe during pregnancy, tooth extractions can be performed to prevent further dental issues.