Telemetry Monitoring: Who needs it?

Which of the following patients does not warrant monitoring with telemetry after admission to the hospital?

A. AICD firing
B. Type II and complete heart block
C. Decompensated heart failure
D. Acute cerebrovascular accident
E. Massive blood transfusion
F. All of the above warrant monitoring

…an excerpt from The Kaji Review

Reference:
LLSA 2009: Chen EH and Hollander JE. When do patients need admission to a telemetry bed? J Emerg Med. 2007; 33(1): 53-60. full textRead more

Treatment of Ureteral Calculi

Regarding ureteral calculi, which of the following is FALSE?

A. The incidence of kidney stones in the general population appears to be increasing, as does the medical cost associated with this disease.

B. The majority of individuals with urolithiasis have small (<5 mm) stones, located in the distal ureter, that are able to pass spontaneously.

C. Both stone expulsion and time to expulsion of ureteral stones depend heavily on stone size and location.

D. Urologic intervention is recommended for ureteral stones that persist for more than 2 months.

E. A meta-analysis demonstrated that neither calcium channel blockers nor alpha-antagonists increase the rate of stone passage.

excerpt from The Kaji Review Read more

What is the risk of HIV post exposure?

A 24 yo male presents to the ED saying that he had receptive anal intercourse without the use of a condom with an male partner who was known to have had sex with other men. He is also worried because many years ago she was not treated for a needlestick injury. TRUE statements about postexposure prophylaxis (PEP) for HIV include which of the following?
 (Choose three answers.)

A. A case-control study in 1997 demonstrated that health care workers who received AZT after needlestick exposures were 81% less likely to undergo seroconversion to positivity for HIV.
B. The use of PEP does not assume that the person who was exposed to HIV is HIV negative.
C. The overall rate of HIV transmission through percutaneous inoculation through a needle is reported to be 0.3%.
D. The estimated risk of transmission from receptive… Read more

Available Now: The Kaji Review

We are pleased to announce the first publication from WikEM Press, The Kaji Review.

The Kaji Review is an evidence based clinical question book for students, residents, and attending physicians in Emergency Medicine. The book covers core content, life long learning readings, and advanced clinical care topics to advance bedside knowledge, evidence based medicine, and daily clinical practice. There are over 750 questions and hundreds of full text articles, videos, and images.… Read more

Kaji Review Question: Burns

Which patient(s) requires burn center/facility transfer? 

A. 35 year old male with partial thickness burns to entire back, shoulders and buttocks

B. 23 year old female with circumferential full thickness burns to right hand and wrist

C. 55 year old male with circumferential partial thickness burns to entire right leg

D. 18 year old female after inhalation injury with multiple partial thickness burns and wheezing, with significant asthma history

E. A, B, C, and D

F. A and B

 

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