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Nasopharyngeal intubation tips
Posted by dkwinter
Consider ketamine as it provides analgesia add midazolamIf may increase secretions so considerAtropine 0.5 mg ORGlycopyrrolateUse topical anesthetics tooOxymetazoline or NeosynephrineLidocaine nebule 4
Needle Cricothyroidotomy and Surgical Cricothyroidotomy videos
Posted by dkwinter
Needle Cricothyroidotomy video 1 minute 12 seconds: https://facs.wistia.com/medias/goesomp1l3 Surgical Cricothyroidotomy  1 minute 33 seconds: https://facs.wistia.com/medias/1we4b4mhye Site of the surgical crico
Newman's all-purpose nipple ointment
Posted by dkwinter
Source: http://www.nbci.ca/index.php?option=com_content&id=76:all-purpose-nipple-ointment-apno&Itemid=17Rx:     Newman's all-purpose nipple ointmentMupirocin ointment 2%: 15 gramsBetamethasone oin
NEXUS and Canadian C-spine Rules CCR
Posted by dkwinter Source Academic Life in Emergency Medicine
 NEXUS National Emergency X-radiography Utilization Study:A patient&rsquos neck can be clinically cleared safely without radiographic imaging if all five low-risk conditions are met:No posterior midline neck pain or tendernessNo f
NL Death Certificate - Causes for ME notification of death
Posted by dkwinter
from the Fatalities Investigations Act: http://www.assembly.nl.ca/legislation/sr/statutes/f06-1.htm#5_ 5. A person having knowledge of or reason to believe that a person has died under one of the following circumstances shall immediatel
No need to stop antiplatelets or anticoagulants prior to minor dental procedures
Posted by dkwinter
Should Antiplatelet and Anticoagulant Medications Be Discontinued before Minor Oral Surgery Procedures?Abdullah M. Al-Harkan, BA, DMD, MSc, FRCDC Ghassan A. Al-Ayoub, BS, DMD Short answer is No. See the artic
Non-insulin anti-diabetic agents covered by NLPDP with special authorization
Posted by dkwinter
NLPDP Drug Lookup:http://www.health.gov.nl.ca/health/prescription/newformulary.asp ThiazolidinedioneRepaglinide GlucoNorm MOA: Nonsulfonylurea hypoglycemic agent which blocks ATP-dependent potassium cha
Normal baby growth and development size, sleep, feeding, elimination
Posted by dkwinter
Normal Blood Volume
Posted by dkwinter
See also:     Estimated blood loss and initial fluid replacement table  AdultsApprox. 7% of body weightEx. 70 kg male has a circulating blood volume of ~ 5 L 70 kg * 0.07 = 4.9 LO
Normal serology values in pregnancy
Posted by dkwinter
 Non-pregnantFirst trimesterSecond trimesterThird trimesterHb g/dL12-15.811.6-13.99.7-14.89.5-15.0Hct %35.4-44.431.0-41.030.0-39.028.0-40.0
Normal urine output
Posted by dkwinter
Age groupNormal urine output per hourInfants and young childrenat least 1.5-2 mL/kgOlder children and adolescentsat least 1 mL/kgAdultsat least 0.5 mL/kg 
Normal X-Rays
Posted by dkwinter
https://normalxrays.com/ Perfect source of reference X-rays to confirm normal anatomy especially in very young and very old patients. E.g. confirmed appearance of knee growth plates in a 13 year old male with acute knee pain
NRP Quick Reference
Posted by dkwinter
NSAIDS and upper GI bleeds
Posted by dkwinter
Source: Academic Life in Emergency Medicine 
NSTEMI treatment
Posted by dkwinter
Supplemental oxygen Antiplatelet therapyASA 162 mg PO to chew STAT followed by 81 mg PO dailyANDPlavix 300 mg PO STAT followed by 75 mg PO daily600 mg dose if pt to undergo emergent PCI within 24 hours of diagnosi
NYHA Heart Failure Classification
Posted by dkwinter
ClassPatient SymptomsClass I MildNo limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea shortness of breath.
Nasal fractures
Posted by dkwinter
Tx Incise and drain any septal hematoma, followed by nasal packing
Nasotracheal intubaton
Posted by dkwinter
See also:     Rapid sequence intubationMay be indicated when laryngoscopy is predicted to be difficult or neuromuscular blockade is contraindicated.Nares should be sprayed with topical vasoconstrictor and anesthetic.Tube size is gene
Nausea/Vomiting Ddx
Posted by dkwinter
See also     Nausea/vomiting tx in EDHx     Acuity of onset     Abdominal pain     Relation to meals     Sick contacts     Possible food poisoning&nbs
Nausea/Vomiting treatment in the ED
Posted by dkwinter
See also: Nausea/vomiting Ddx First line:Gravol Dimenhydrinate 50 mg IM/IV/PR same dose 16h PRN. Antihistamine. Works in CTZ. Depresses labyrinthine function due to anticholinergic activity.Maxeran Metoclopramide 10
Negative inotropes
Posted by dkwinter
NOT used for     Heart failure symptomsInclude     Verapamil     Beta-blockers 
Neonatal medication and tube size guidelines
Posted by dkwinter
See also: Pediatric Emergency Drug Card, Tube Sizes and Reference Vitals Source: Kentucky Children's Hospital
Neutropenic fever in cancer patients
Posted by dkwinter
Source: Academic Life in Emergency Medicine 
Newfoundland and Labrador Prescription Drug Program NLPDP
Posted by dkwinter
See also:Inhaled medications and devices with NLPDP coverage Source: Newfoundland and Labrador Department of Health and Community Services Drugs that are covered:http://www.health.gov.nl.ca/health/prescription/newform
Newfoundland and Labrador Tamper Resistant Prescription Pads--schedule, info, order form
Posted by dkwinter
Schedule of Drugs required to be written on tamper resistant pads:Note: benzodiazepines do not require tamper resistant prescriptions. Info page:http://www.health.gov.nl.ca/health/prescription/hcp_tamperresistantdrugpad.html