By Michael Safani, Matthew Brenner
Palm & Pocket notebook electronic Books & Updates integrated, New SCCM guidance, up-to-date & Revised.
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Throughout emergency rooms all over the world, hundreds of thousands of sufferers are referred for mind CT scans each day. The ability required to figure out an instantaneous life-threatening abnormality in a mind CT experiment is a easy method and will be learnt very quickly through all emergency room physicians. certainly the emergency head CT test is similar to an ECG in application and more than likely as effortless to profit.
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Additional resources for Critical Care Medicine (2005 Edition)
Meningitidis Ampicillin and Ceftazidime (con sider adding Vancomycin) CSF shunt S. aureus, Gram negative bacilli Vancomycin and Ceftazidime Antibiotic Choice Based on Gram’s Stain Stain Results Organism Antibiotic Gram's (+) cocci S. pneumoniae S. aureus, S. agalactiae (Group B) Vancomycin and ceftriaxone or cefotaxime Gram's (-) cocci N. meningitidis Penicillin G or chloramphenicol Gram's (-) coccobacilli H. influenzae Third-generation cephalosporin Gram's (+) bacilli Listeria monocytogenes Ampicillin, Penicil lin G + IV Gentamicin ± intrathecal gentamicin Gram's (-) ba cilli E.
If possible, apply local pressure to bleeding sites. Blood specimens should be sent for INR/PTT, fibrinogen, and thrombin time. Reptilase time should be checked if the patient is also receiving heparin. Pa tient's blood should be typed and crossed because urgent transfusion may be needed. Cryoprecipitate (10 units over 10 minutes) should be transfused to correct the lytic state. Transfusions may be repeated until the fibrinogen level is above 100 mg/dL or hemostasis is achieved. Cryoprecipitate is rich in fibrinogen and factor VIII.
Meningitidis, S. pneumoniae, H. influenzae Ceftriaxone or cefotaxime and vancomycin 18-50 years S. pneumoniae, N. meningitidis Ceftriaxone or cefotaxime and vancomycin Older than 50 years N. meningitidis, S. pneumoniae Gram-negative bacilli, Listeria, Group B strep Ampicillin and ceftriaxone or cefotaxime and vancomycin Neurosur gery/head in jury S. aureus, S. epidermidis Diphtheroids, Gram-negative bacilli Vancomycin and Ceftazidime Immunosuppr ession Listeria, Gram negative bacilli, S. pneumoniae, N.