Central Venous Access: Prevention of Infectious Complications.
For immunocompromised patients and high-risk neonates, administer intravenous antibiotic prophylaxis on a case-by-case basis.
Posts
Procedural sedation in Emergency Medicine 2018
Author: Gavin Lloyd / Editors: Steve Fordham, Gavin Lloyd / Codes: C3AP6 / Published: 06/06/2018 / Review Date: 06/06/2020 Introduction Sedation is a routine aspect of emergency care. The aim is clear: make the procedural experience as comfortable as possible for your patient, whilst ensuring that your practice is safe. Sedation is a continuum which extends from a normal conscious level to being fully unresponsive. Sedation and recovery move patients along this scale, but it is difficult to accurately assess the precise degree of sedation at any one time, and even harder to maintain a patient at a pre-defined target level. The American Society of Anesthesiologists (ASA) uses the following useful definitions for sedation:
When do you use pacemaker for myocardial infarction?
CLASS I (strong) of recommendation, LEVEL B-NR of evidence (moderate-quality evidence from 1 or more well-designed, well-executed nonrandomized studies, observational or registry studies; meta-analyses of such studies)
Resuming sex after a heart attack
After a heart attack or revascularization procedure, many people wonder whether it will be safe to resume sexual activity, and if so, when. They may worry about having another heart attack, or about dying during intercourse. If they have had bypass surgery, they may worry that sexual activity might be painful. Despite the importance of sex in a healthy relationship, many people (including doctors) are uncomfortable discussing it. As a result, questions go unasked, and information is not volunteered. The whole issue becomes the elephant in the room.
What the most accurate test is: creatine kinase-MB or troponin?
Creatine kinase-MB (CK-MB) is a form of an enzyme found primarily in heart muscle cells.
Physical tests for noncardiac chest pain.
Non-cardiac chest pain is a major problem in general practice, in outpatients, and on the wards. Some patients are “reassured” that their pain is not cardiac but this is of course not the end of the matter. Some are given the label “musculoskeletal” but this is not very convincing without a clear explanation.