Bunnany Pekar, CRNA, ARNP In honor of the Reverend Dr. Martin Luther King, Jr An Immigrants Story Please allow me to share my perspective on why I chose to travel across the world to provide medical care to people I do not know. But first, I am going to provide you with a little background …
Inclusion: Adult Exclusion: Children or for patients whom episode of syncope is thought to be secondary to another disease process Level A: History and PE consistent with heart failure help identify patients at high risk for an adverse outcome. Standard 12-lead ECG Level B: High risk of AE: Older age, structural heart disease, history of CAD Low risk of …
Inclusion: Non-penetrating trauma to the head Presentation to ED within 24 hours of injury GCS 14 or 15 on initial evaluation in ED Age ≥ 16 Exclusion: Penetrating trauma Patients with multi-system trauma GCS < 14 on initial evaluation in the ED Age < 16 Level A: A noncontrast head CT indicate in head trauma …
Inclusion: Adult with acute non-cancer pain or acute exacerbation of chronic non-cancer pain Exclusion: Long term care of patients w cancer or chronic non-cancer pain Level A: Level B: Short-acting opioids such as oxycodone or hydrocodone for short term relief of acute musculoskeletal pain ‘Level C: Use of state prescription monitoring program may help identify patients at …
Inclusion: Adult patients presenting to ED with acute ischemic stroke Exclusion: Children < 18 years Level A: None. Level B: Offer IV tPA to acute ischemic stroke patients who meet NINDS inclusion/exclusion criteria and can be treated within 3 hours after symptom onset. Consider increased risk of symptomatic intracranial hemorrhage in decision to administer tPA. (May consider …
Inclusion: Age ≥ 18 Symptomatic elevated BP Lack signs of symptoms of acute target organ injury. Exclusion: Acute hypertensive emergencies (acute stroke, cardiac ischemia, pulmonary edema, encephalopathy, CHF) Pregnant ESRD Emergent conditions that are likely to cause elevated BP not directly related to acute target organ injury Acute presentation of serious medical conditions associated with …
