Stuff Learned at PMH – #6

Camera pick taken when I broke my finger... I forgot to write this post on Friday, so here goes:

1) Soaking gauze with adrenalin is a good way to create hemostasis.

2) Surgery on someone with a heart murmur can be an indication for prophylactic antibiotics.

3) When performing surgery on the nasal sinuses, it’s a good idea to pack the throat with gauze to prevent blood from accumulating.

4) When extubating someone who has a lot of blood or secretions near their airway, you should try to put them on their side.

5) Forced expiration against a closed epiglottis can cause acute pulmonary edema.

6) Acute pulmonary edema is a life threatening emergency. Also, I had learned about pink frothy foam in class, but seeing it in real life was a totally memorable experience.

7) STAT furosomide works well for acute pulmonary edema. Discontinuing IV fluids is also important.

1 comment:

  1. Anonymous, March 17, 2008, 5:08 pm

    Looks like you’re having a great time. I visited the Caribbean on a development project in college and got hooked on island life. Now I’m in the South Pacific practicing medicine, writing, blogging, doing stand-up comedy, and anything else that seems interesting. Enjoy the journey!

    David
    http://www.MarianasEye.blogspot.com

     

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