w******y
发帖数: 4871 | 1 GENERAL ANESTHESIA
Induction — If examination of the upper airway suggests that intubation
will not be problematic, the following sequence is used for providing
general anesthesia to the gravida:
•A nonparticulate antacid is generally given preoperatively to
alkalinize gastric contents. Some practitioners also administer
metoclopramide or an H2 blocker as prophylactic measures to minimize the
risk and severity of aspiration (see 'Reduction of gastric acidity/volume'
above).
•Just pri... 阅读全帖 |
|
b*****o
发帖数: 6080 | 2 我给大家看看我当初的经历和想法，看过即忘便可以。
01/31.昨夜是一个irritated病人，只能睡着，一醒着就瞎折腾，要离开医院，VS就非
常不正常。我想给他short bedbath,他就醒了，这下爆炸了，弄的我很没底气。我
preceptor开始就告诉我别她弄醒了，我不小心就。。。反正后来一剂Ativan又让他睡
过去了，我才感觉好一些。3点多钟来一个new admission,因为不熟悉Medtech，又使自
己焦头烂额。非常非常懊丧。
赶紧去睡，呼呼大睡，眼皮撑不开了。突然想起来3K说“在改”，我也每天都“在改”。
02/05. Had a boring night. One patient is passing away, and the other is
actually passing away as well. The only exciting point is to know one needs
to do urine culture, blood culture & sputum culture (intubated) if in high
fever e... 阅读全帖 |
|
b*****o
发帖数: 6080 | 3 我给大家看看我当初的经历和想法，看过即忘便可以。
01/31.昨夜是一个irritated病人，只能睡着，一醒着就瞎折腾，要离开医院，VS就非
常不正常。我想给他short bedbath,他就醒了，这下爆炸了，弄的我很没底气。我
preceptor开始就告诉我别她弄醒了，我不小心就。。。反正后来一剂Ativan又让他睡
过去了，我才感觉好一些。3点多钟来一个new admission,因为不熟悉Medtech，又使自
己焦头烂额。非常非常懊丧。
赶紧去睡，呼呼大睡，眼皮撑不开了。突然想起来3K说“在改”，我也每天都“在改”。
02/05. Had a boring night. One patient is passing away, and the other is
actually passing away as well. The only exciting point is to know one needs
to do urine culture, blood culture & sputum culture (intubated) if in high
fever e... 阅读全帖 |
|
N***a
发帖数: 149 | 4 MEDICAL ETHICS 137 cases:
________________________
1. A 25- year old mother refused immunization for her 2-month old son. The
social worker spoke to the mother. (Important for Board examination)
Next step in management: immunization should be given for the benefit of the
child.
2. A 30-year old mother refused surgery for suspected appendicitis for her 6
-year old daughter. The social worker spoke to the mother. (Important for
Board examination)
Next step in management: surgical removal of the ap... 阅读全帖 |
|
b*****l
发帖数: 8603 | 5 2007年的，不知道你们说的是不是这个。祝好。
medical ethics more than hundred cases
Sep 24th, 2007, 12:17pm
1. A 25- year old mother refused immunization for her 2-month old son. The
social worker spoke to the mother. (Important for Board examination)
Next step in management: immunization should be given for the benefit of the
child.
2. A 30-year old mother refused surgery for suspected appendicitis for her 6
-year old daughter. The social worker spoke to the mother. (Important for
Board examination)
Next step in ma... 阅读全帖 |
|
e****0
发帖数: 678 | 6 • Exaggerated deep tendon reflexes can be seen in lock in syndrome.
• Non bleeding varices are managed with nonselective beta-
adrenergic antagonists, such as propranolol.
• Sclerotherapy, endoscopic band ligation, and surgery are
indicated after a patient has a first episode of variceal bleeding.
• TIPS is a last resort in variceal bleeding unresponsive to
medical and endoscopic intervention.
• Ischemic colitis
CT—thickening of eth bowel ... 阅读全帖 |
|
b*****o
发帖数: 6080 | 7 Full code means we can initiate a code blue if patient's dying, so that the
whole team of physicians, nurses, respiratory therapists, labs and radiology
will involve in intubation, CPR, defibrillation and administration of
vasopressors and antiarrythmics.
DNR means we are forbidden to call code blue and let patient expire
naturally, but many patients choose which measures to take and which are not
to in case of emergency. For example, some choose to take the medicines
only instead of CPR and int... 阅读全帖 |
|
T*R
发帖数: 36302 | 8 看医院，护士当然有可能INTUBATE病人。
你接受过ACLS培训吗？ ACLS一项内容就是INTUBATE。
有些小医院，晚上只有一个医生，如果有两个CODE同时发生，另一个CODE就只能是ICU/
ER护士负责。需要的时候就得上。当然这种机率很小就是了。
所有的美国住院医生都是经过ICU轮训过的，他们如果不会做只是因为他们很少做。理
论上他们都应该会做并且做过的。
你要是内科出来在小医院做HOSPITALIST，CODE时候就是你来做。不是每个医院都有麻
醉师/ICU医生来INTUBATE的。 |
|
b*****o
发帖数: 6080 | 9 最近才知道我们医院respiratory therapist 在有一个md在旁的情况下可以intubate，
这样10次之后，可以独立intubate.
跑个题，ems一直就可以场地intubate，所以还是持和以前一样的态度：在美国，医疗
行业入门门槛高，完成学业周期长，overeducated，人才浪费，成本太高；而另一方面
（第二个跑题），技术上的东西完全在于培训，不给培训机会，再聪明的人也白搭，这
也是为什么很多人抱怨美国护士技术不行，比起国内来我们练手机会少而已，不是本身
有多难。 |
|
w**d
发帖数: 362 | 10 M, 87 yr, acute respiratory failure, PNA
Hx --- COPD, DM, CAD, CKD, CVA, TIA, HTN, PE, dementia.
when shift change, vital signs are normal, O sat 92% on 3L nasal cannula.
一晚上直到4AM都很平稳，没有异常。我抽血做CBC, CMP的时候RR 18, O sat 92% on
3L nasal cannula.
然后4：30AM 病人呼吸突然停止了。马上ambu bag, 但是HR, BP紧接着往下掉，马上启
动ACLS。Intubation is the only option, but pt has order of "do not
intubation (DNI).
打电话给家属确认，家属再次坚决不同意intubation。
Sadly, we lost him。
请问，之前一切正常，怎么会突然在4：30突然停止呼吸了呢？大家见过类似的情况吗？
这太可怕了。 |
|
z*******4
发帖数: 285 | 11 算了，你脑子大概也被活摘过
懒得跟你解释，贴个清单吧：
累计研究数量 注册号 注册日期 研究者单位 研究者单位（英文） 注
册题目 注册题目（英文) 预计纳入参试者日期
1 ChiCTR2000029308 1/23/2020 武汉市金银潭医院（武汉市传染病医院）
Wuhan Jinyintan Hospital (Wuhan Infectious Diseases Hospital) 一项评价
洛匹那韦/利托那韦和干扰素-α2b联合治疗武汉新型冠状病毒肺炎(COVID-19)住院患者
的疗效和安全性随机、开放、空白对照的研究 A randomized, open-label, blank-
controlled trial for the efficacy and safety of lopinavir-ritonavir and
interferon-alpha 2b in hospitalization patients with novel coronavirus
pneumonia (COVID-1... 阅读全帖 |
|
W********r
发帖数: 158 | 12 You can't say all his organs are healthy. He is in irreversible respiratory
failure due to an incurable cancer. Intubation is a very traumatic and
painful experience. The longer a patient is intubated, the more complication
is going to occur, the more suffering the patient will have. Patients are
usually suffering but too weak to tell. It is not about what you or your
family want. It is about what do you think your father will want. Does your
father have a health proxy (to make decisions for him... 阅读全帖 |
|
d******a
发帖数: 127 | 13 To gomer (gomer),
Unfortunately, I don't agree most of your input.
>> 2. know how to intubate and put in a central lineand know your acls well,
so in case patient crashes, you can at least pretend you are doing
something that seems to be helpful; or you can do what my friend does, shows
up very late for the code and ask, how long has it been? 20 minutes? let's
call it, time of death...
Lots of PG3 or Internist don't know how to put a central line or intubation.
Now IM is calling medicine, Call |
|
s*******r
发帖数: 174 | 14 来自主题: MedicalCareer版 - 殊途同归 这个月在icu,第一个call收的两个病人都是pneumonia/sepsis/septic shock.第一个83
岁，我收的时候他还好好的，冲我笑呢，就是sats低，lactate只有4。overnight就被
intubate拉，we did everything we need to do, 可他还是接着一天不如一天，挺了
一周，kidney开始down，platelets也开始drop，家里很快就决定withdraw care了。当
时还想着应该再给他一些时间。。。。
另外一个72，收得时候lactate7点几，一度11点几，ph7.0几，k7点几，fluids
,pressors, bicarb drip, dialysis。。。能用的全用了，当时觉得他肯定是不行的了
。。。。没想到一天一天好起来，前两天居然extubate了。。。就在我感叹年龄真是
icu病人的prognostic factor啊的时候，他还是tolerate不了拔管后的destress，面临
再度被intubate和long term weaning process， 刚上去看，已经决定comfort |
|
s****r
发帖数: 48 | 15 I think we should choose B.
From uptodate:
In the past, clinicians frequently interrupted CPR to check for pulses,
perform tracheal intubation, or obtain venous access. The 2010 ACLS
Guidelines strongly recommend that every effort be made NOT to interrupt CPR
; other less vital interventions (eg, tracheal
intubation or administration of medications to treat arrhythmias) are made
either while CPR is performed or during the briefest possible interruption.
Interventions that cannot be performed whi... 阅读全帖 |
|
e****0
发帖数: 678 | 16 • leukemia
ALL AML CLL
child adult elderly
BM lymphoblasts 25%myeloblasts
lab Lymphocyte 5000, mature-appearing cells
• Osgood-schlatters disease
Adolescent male athletes
Traction apophysitis—quadriceps tendon put the traction on the
apophysis of the tibial tubercle where patellar tendon inserts.
A firm mass =heterotopic bone formation
Pain can be reproduced by extending the kne... 阅读全帖 |
|
n***j
发帖数: 184 | 17 来自主题: MedicalCareer版 - 面试问题 感谢Mitbbs过去2年来给我的帮助,得到了很多的信息,也认识了很多朋友。之前和Hmis
说好，match过了之后会发一个帖子关于面试问题的帖子。里面集合了所有我面试的地
方的问题，都是面完之后立刻记下来的，应该基本可以传达面试时真实的对答过程.希
望能对大家有帮助.Good luck!
顺序是按面试的时间贴的。C是社区医院,U是大学医院
C
Questions:
1. You have been to XXX Hospital?
2. How do you study English?
3. At your school, do you use internet to study?
4. What is your career goal?
5. We talked about my school’s location. We talked about GI fellowships.
6. We talked about kayaking and mammoth cave.
Lessons:
1. Don’t drink when waitin... 阅读全帖 |
|
w*l
发帖数: 43 | 18 大概想了下这差不多一年里Intern的日子，一路过来摸爬滚打，都快精疲力尽了。现在
休假， 休息了些时日， 精神体力恢复了些。 写一些感受， 主要是教训， 希望能有
帮助。 对自己也是总结促进。大家都是身经百战的强者， 怎么学习的事情不用多说，
着重提一下人际关系吧。
1. 进科室前的准备。
1） 临床知识。进科室前曾经和位老先生请教过读书的事。 他建议看Board Review
一类较好。 里面的内容都是对美国医生要求掌握的， 将来考执照方正也要看。可以考
虑看MKSAP16, 将来考执照也看这套书。这套书就是挺贵。可以从头读， 也可以遇到啥
病读啥病， 没遇到的就多看几遍。
还有其它书， 比如Pocket Medicine, Washington Manual, 这些也都挺好。
对于离开临床挺长时间的同学， 可以考虑先看Hutchison’s Clinical Methods. 英国
作者。 类似于《诊断学》， 是一本很好的为临床打基础的书。 从中可以很系统地认
识各大类疾病。 自己感觉以前为了考试， 尤其Step2/3, 读的是复习大纲， 另外做题
， 线条粗， 面不够开，... 阅读全帖 |
|
z******8
发帖数: 844 | 19 ☆─────────────────────────────────────☆
wul (Wul) 于 提到:
大概想了下这差不多一年里Intern的日子，一路过来摸爬滚打，都快精疲力尽了。现在
休假， 休息了些时日， 精神体力恢复了些。 写一些感受， 主要是教训， 希望能有
帮助。 对自己也是总结促进。大家都是身经百战的强者， 怎么学习的事情不用多说，
着重提一下人际关系吧。
1. 进科室前的准备。
1） 临床知识。进科室前曾经和位老先生请教过读书的事。 他建议看Board Review
一类较好。 里面的内容都是对美国医生要求掌握的， 将来考执照方正也要看。可以考
虑看MKSAP16, 将来考执照也看这套书。这套书就是挺贵。可以从头读， 也可以遇到啥
病读啥病， 没遇到的就多看几遍。
还有其它书， 比如Pocket Medicine, Washington Manual, 这些也都挺好。
对于离开临床挺长时间的同学， 可以考虑先看Hutchison’s Clinical Methods. 英国
作者。 类似于《诊断学》， 是一本很好的为临床打基础的书。 从中可以... 阅读全帖 |
|
h******e
发帖数: 152 | 20 不好意思，中途电脑死机，重启，很多地方没有记下来
Wesley
推荐信里面不要有任何negative东西，比如ENglish improved。
commecial 推荐信，都是一样模板。
把所有东西take serious，面试自然而然就来了
内科tough，ob经历非常重要，一定要会干活，在clinic 和hospital完全不同，一定要
有inpatient healthcare 经历， 最重要反应在推荐信上。内科特别看重分数！只要分
数好，后面什么都可以弥补。 我申请120 program，拿到十个面试， 申请了family
mediicne 76个， 面试时0，因为我没有绿卡， 对于FM非常tough，分数倒不是那么重
要。申请之前要对自己有个好的定位，我foucus 在primary care，我在fm的ps，重点
突出自己的obgyn 的经历，更加强调整体。有的面试，给你个主诉，或者说我头疼，你
问诊把！
Q：你以前在国内做眼科，现在你做内科，当你准备你ps或者cv的时候，你怎么避免这
个会给你带来不必要的麻烦？
A：无论哪个speciality都离不开内科，我找了个眼科... 阅读全帖 |
|
b***2
发帖数: 482 | 21 哦，这样的问题我们从第一天就开始了。当然一开始大家都傻眼了，不过这时候不评分
的，但是回答对了，老师们会给我们很多鼓励。大约五六个星期，大家都开始适应这样
的日子，高年级同学给我们复习的时候也是这样问的。我们program开始前十个礼拜就
要求开始自学anesthesia overview（那时已经发上课slides了），那时候就开始背剂
型剂量通用名商品名适用症禁忌症，正式上课从intubation开始慢慢加，大约六周开始
每次考试最后一两题都是这样的独立案例分析essay。我觉得这样渐进式的转变还是可
以接受的，真正面试的时候也有准备点。当然我觉得刚开始很多东西不知道是正常的，
谁也一口吃不成个胖子。我们有三次为competency考试（跟你考过的一样）的open lab
，其实就是老师加班给大家模拟考。
还有program开始的时候就通知大家第二年实习都是要独立工作的。这个我有点心理准
备，那时候做observation跟的一个SRNA就是第二年，也是独立当班，intubation和
emergence的时候chief CRNA来看一眼而已。不过有问题时，CRNA是立马show ... 阅读全帖 |
|
b***2
发帖数: 482 | 22 哦，这样的问题我们从第一天就开始了。当然一开始大家都傻眼了，不过这时候不评分
的，但是回答对了，老师们会给我们很多鼓励。大约五六个星期，大家都开始适应这样
的日子，高年级同学给我们复习的时候也是这样问的。我们program开始前十个礼拜就
要求开始自学anesthesia overview（那时已经发上课slides了），那时候就开始背剂
型剂量通用名商品名适用症禁忌症，正式上课从intubation开始慢慢加，大约六周开始
每次考试最后一两题都是这样的独立案例分析essay。我觉得这样渐进式的转变还是可
以接受的，真正面试的时候也有准备点。当然我觉得刚开始很多东西不知道是正常的，
谁也一口吃不成个胖子。我们有三次为competency考试（跟你考过的一样）的open lab
，其实就是老师加班给大家模拟考。
还有program开始的时候就通知大家第二年实习都是要独立工作的。这个我有点心理准
备，那时候做observation跟的一个SRNA就是第二年，也是独立当班，intubation和
emergence的时候chief CRNA来看一眼而已。不过有问题时，CRNA是立马show ... 阅读全帖 |
|
M******C
发帖数: 623 | 23 ☆─────────────────────────────────────☆
b0122 (宝儿) 于 (Tue Feb 28 20:19:07 2012, 美东) 提到:
BSN（麻护工作是基于护士执照的，所以这个是必要条件）
GPA3.5(都这样写，不过我认识的好像没有3.8以下的）。
GRE1000以上（有些program可以按成绩和工作年限减免）
ICU（各种ICU都可以,最好是CCU）或者TraumaER两年工作经验（必要条件）
CCRN（必要条件）
ACLS，PALS， CPR。
面试可以查我以前的旧帖。
24到33个月不等时间，有些先上理论课再实习（似乎AANA对实习期有至少18个月的要求
），有些一边上课一边实习（像我这个），各有好处。
学费从4万不到（还有部队全部补贴的）到十一二万的都有，好像德州的最便宜！
Baylor就是少数几个还给stipend的program之一。
当然你可以一边上班一边上学来减轻经济负担，但是这会是极度疲劳的（有的麻护系根
本没有假期）。一般program都为了board通过率也绝不会鼓励你这样做。绝大部分学生
都是贷款上学的。
... 阅读全帖 |
|
s*******y
发帖数: 1739 | 24 你第二个例子我不知道可信度是多少，但第一个例子太假了，护士怎么可能INTUBATE
病人，就是医生也不是任何人可以做INTUBATION 就能做的. |
|
b*****o
发帖数: 6080 | 25 没有听说过rn intubate病人，但或许有的医院可以，我们没有听说过。医院政策似乎
决定了很多东西。我们医院这个rt可以intubate就是我以前不知道的。以前一个肺科医
生，问他的np都可以做什么，他说都是看医院，有的医院没限制，有的则明确规定np可
以和不可以做什么。 |
|
L****n
发帖数: 12932 | 26 来自主题: Medicalpractice版 - 做人要低调 well, well, thanks so much for your pray. He turn out fine. Here is the
whole story.
this is a 73 yo 280lb good old mid-westerner living a happy life until one
week ago, he had a stroke and was admit to neuro floor. only significant
history was a lap chole turn open 2 yrs ago. Since he is not able to feed
himself now, GI put a peg tube in yesterday morning. by noon he was found
aspirated the gastric feed in his room. was rushed to the ICU. later in the
afternoon, they found free air in his abd... 阅读全帖 |
|
L****n
发帖数: 12932 | 27 来自主题: Medicalpractice版 - 做人要低调 well, well, thanks so much for your pray. He turn out fine. Here is the
whole story.
this is a 73 yo 280lb good old mid-westerner living a happy life until one
week ago, he had a stroke and was admit to neuro floor. only significant
history was a lap chole turn open 2 yrs ago. Since he is not able to feed
himself now, GI put a peg tube in yesterday morning. by noon he was found
aspirated the gastric feed in his room. was rushed to the ICU. later in the
afternoon, they found free air in his abd... 阅读全帖 |
|
a*********1
发帖数: 872 | 28 来自主题: Medicalpractice版 - 问个问题 假如有个老太太是你的病人，她跟你说过不愿意intubate。结果在你度假时她病重，没
意识了，你同事给她做了intubate。你回来后该怎么做呢？把插管拔掉？等她醒了再做
决定？还是跟她家人商量？ |
|
b******a
发帖数: 704 | 29 Case 12-2013 — An 18-Year-Old Woman with Pulmonary Infiltrates and
Respiratory Failure
N Engl J Med 2013; 368:1537-1545
Presentation of Case
Dr. James Sawalla Guseh (Medicine): An 18-year-old woman was admitted to
this hospital because of pulmonary infiltrates and respiratory failure.
The patient had been well until 3 weeks before admission, when fever and a
cough productive of white, nonbloody sputum developed. During the next week,
night sweats, extremely painful pharyngitis, pleuritic chest ... 阅读全帖 |
|
w******y
发帖数: 4871 | 30 Febrile seizures
Author
Marvin A Fishman, MD
Section Editor
Douglas R Nordli, Jr, MD
Deputy Editor
Janet L Wilterdink, MD
Last literature review version 19.1: January 2011 | This topic last updated:
February 3, 2011 (More)
INTRODUCTION — Febrile seizures are a common cause of convulsions in young
children. They occur in 2 to 4 percent of children younger than five years
of age, but the incidence is as high as 15 percent in some populations. This
incidence has been attributed to closer living arr... 阅读全帖 |
|
T*R
发帖数: 36302 | 31 COPD EXACEBATION喷剂不管用的.只能雾化治疗加氧气,再严重点需要BIPAP或是INTUBATION. |
|
p****n
发帖数: 9263 | 32 asthma and COPD are different....
INTUBATION. |
|
T*R
发帖数: 36302 | 33 hehe,一样的治疗方案.去了ICU,都是INTUBATED,呼吸机,加DUONEBS TREATMENT.
这种老病号,其实肯定是COPD,不过国内一般不区分的这么严格. |
|
T*R
发帖数: 36302 | 34 在一般科室能经常能接触到的就是ATIVAN+DILAUDID。
MJ用的那个只有ICU和手术室有，那个是我们用来给那些在ICU被RESTRAIN/INTUBATE的
病人的。
DILAUDID是吗啡的7倍药效。
ATIVAN很常用的镇定剂。 |
|
T*R
发帖数: 36302 | 35 因为是麻醉期间，病人不能自主呼吸，肯定是插管接呼吸机。
停电了，呼吸机有备用电池。但是不可能带着呼吸机转运病人。在美国，即使是CODE了
病人被INTUBATE了，转运期间也是用AMBU BAG手捏辅助呼吸。
那么必须要有AMBU BAG加小的偏携氧气瓶。都停电了，啥也看不见，去哪找？
而且这些应该是麻醉师的工作。
错就错在两个护士和两个麻醉师都离开了手术室寻求帮助，这是不应该的。麻醉师是应
该最后离开的，至少应该在医生之后。
医生对麻醉设备/呼吸机并不熟悉。 |
|
a**********2
发帖数: 3726 | 36 Lol, they all wear face masks or on intubators. |
|
a**********2
发帖数: 3726 | 37 Xi core and other 6 will use face masks or probably on intubators. |
|
|
T*R
发帖数: 36302 | 39 上呼吸机不需要麻药啊？
你不是学医的吧？
只需要镇定剂。
TRACHOSTOMY除外。不过一般说的INTUBATION都不是指TRACHOSTOMY吧。 |
|
l*****9
发帖数: 9501 | 40 The family of biker Jay Mieses said he was seriously injured when the SUV
plowed into several bikers.
"He got scared and peeled off and paralyzed my husband on the way," Mieses
said.
Yolando Santiago, the injured biker's mother, said that all of her son's
ribs are fractured and his lungs are so badly bruised that he is still on a
ventilator.
"We believe he has two broken legs, and he's intubated, and he may be
paralyzed," New York City Police Commissioner Ray Kelly said.
However, Kelly would not... 阅读全帖 |
|
发帖数: 1 | 41 11 月13日 终于找到另一股在我家害我的势力
昨天，这些人折腾了一天，白天，晚上皮啦啦，也不知道谁把谁杀了，谁把谁带走了。
反正我先生和孩子被绑架了，就不知道是不是已经遇害了。我本来是打算睡觉的，但他
们头上，地下装电磁波攻击器，让我几乎窒息。虽然我没倒下，但其实他们在我身上扎
的毒针已经蔓延，我能感觉到我的呼吸有窒息的感觉。我想我对他们已经非常仁慈了，
但他们不依不饶地攻击我，欲置我于死地，让我非常生气，特别是肆意伤害我家里的人
，绑架我先生和孩子，而且有许许多多无辜的生命毁于他们之手，有必要把他们曝光。
当然我还没分析这里边是那几个人具体攻击我，伤害我的，但他们显然都是一伙的。鉴
于他们伤害我的头部，胸部 和胃部，我就把这几部分的医生都曝光，受害者慢慢去调
查，追查他们吧。
Cleveland Clinic, Website: my.clevelandclinic.org
Call 855. REFER. 123 or 855.733.3712
Lung Cancer
Results: 57 Doctors
PREV123NEXT
Results per page:
Dav... 阅读全帖 |
|
l******e
发帖数: 134 | 42 你待的都是什么狗屁医院？resident做不了intubation和central line?jugular的搞不
进去femoral的总该行吧？再说实在不行surgery和anesthesia总在吧。 |
|
发帖数: 1 | 43 你想当然了
西雅图儿童医院晚上急诊孩子抽不出血来，只做很少测试，耽误了
你说说西雅图儿童医院什么级别？
说是一回事，真进了鬼门关，，，你普通人不知道而已
: 你待的都是什么狗屁医院？resident做不了intubation和central line?jugular
的搞不
: 进去femoral的总该行吧？再说实在不行surgery和anesthesia总在吧。
|
|
W******i
发帖数: 2001 | 44 Chinese medical staff request international medical assistance in fighting
against COVID-19
Yingchun Zeng
Yan Zhen
On Jan 24, 2020, we came to Wuhan, China, to support the local nurses in
their fight against the COVID-19 infection. We entered the Wuhan isolation
ward as the first batch of medical aid workers from Guangdong Province,
China. The daily work we are doing is mainly focused on provision of oxygen,
electrocardiogram (ECG) monitoring, tube care, airway management,
ventilator debugging, ... 阅读全帖 |
|
d*********o
发帖数: 6388 | 45 https://twitter.com/V2019N/status/1237466553613840384
COVID19 @V2019N
-Median in ICU 65 years.
-Seeing increase in young people.
-Intubated 20 year old man.
-3 or 4 neonates tested positive, not severe.
-Children seem to be spared re: symptoms. They may be infectious. |
|
m****a
发帖数: 684 | 46 别鸡巴啥都不看就喷。人家治的都是进医院之前的，纽约几万病例了，还凑不够三四百？
给你贴过来
“Of this group and the information provided to me by affiliated medical
teams, we have had ZERO deaths, ZERO hospitalizations, and ZERO intubations.” |
|
r******g
发帖数: 4002 | 47 The Food and Drug Administration on Sunday issued an emergency use
authorization for hydroxychloroquine and chloroquine, decades-old malaria
drugs championed by President Donald Trump for coronavirus treatment.
Dr. Zelenko Has Now Treated 699 Coronavirus Patients with 100% SUCCESS RATE
-- Using Hydroxychloroquine, Zinc and Z-Pak。
The New York doctor also posted a video explaining his success with
hydroxychloroquine and Zinc . His treatment resulted in the shortness of
breath issue being resolve... 阅读全帖 |
|
T*R
发帖数: 36302 | 48 In Texas, a Hospital Ethics Panel - Not the Patient or Family - Decides
Whether to End Care
DIANNA WRAY | FEBRUARY 9, 2016 | 5:00AM
AA
She closes her eyes for only a second, but when Evelyn Kelly wakes up,
doctors surround her son’s hospital bed at Houston Methodist, and J.
Richard Cheney, the Houston Methodist Bioethics Committee chairman, looms
over her, holding out an envelope.
Kelly had been sitting alongside her son, David Chris Dunn, for hours every
day since he entered Houston Methodist o... 阅读全帖 |
|
T*R
发帖数: 36302 | 49 hehe, the reason to call anesthesiologist is not for anesthesia but to
intubate patient.
BTW, do you really think it is possible to press the patient's chest 240
times/minute? which means 4 times/second?
It is so funny to read your post. |
|
y*****g
发帖数: 193 | 50 Your MD means bronchoscopy which is invasive. Pt is sedated and intubated
prior to bronchoscopy. By that way, MD can visualize the bronchial trees.
Your baby doesn't need that.
Stethocopes can catch air flow through bronchi. If airway is narrow,
stethocope can catch wheezing sound. If airway is almost closed,there will
be no air flow sound.
It's just miscommunication between you and the provider. Even you suspect
asthma or bronchitis for your baby, sometimes it is a clinical diagnosis,
depending... 阅读全帖 |
|
