Flow rates of different catheters Note: CVC is slower than 18G IV RIC (Rapid Infuser Catheter) or "Trauma Kit" How to insert RIC using a 20G IV cannula
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Commercial products How to Use a Broselow Tape CRITOE CRITOE is a mnemonic used to determine skeletal age from x-rays of a child's elbow. It stands for:
There are 2 methods of estimation:Naloxone, if given in single large-dose bolus, may precipitate opioid withdrawal in opioid-dependent patients causing patient distress and life threatening complications: seizures, non-cardiogenic pulmonary edema, and cardiovascular collapse. Nice summary from emDocs (FOAMed): How to dose naloxone? http://www.emdocs.net/tox-cards-narcan-naloxone/ Start naloxone with small doses, i.e. 0.04 mg, and not the standard dose of 0.4 mg IV/IM.
Main Point: Naloxone can be lifesaving. However, given the high prevalence of opioid addiction and the rare but potentially dangerous complication of precipitated opioid withdrawal, the use of initial small escalating doses of naloxone can avoid the development of precipitated opioid withdrawal. An appropriate strategy is to start with 0.04 mg and titrate up every 2-3 minutes as needed for ventilation to 0.5 mg, 2 mg, 5 mg, up to a maximum of 10-15 mg. http://www.emdocs.net/tox-cards-narcan-naloxone/ |
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