May 2013
1 post
1 tag
May 18th
November 2011
7 posts
The new NSTEMI and Unstable angina
The new cpg for unstable angina and nstemi update 2011, for malaysian health service can be found at: www.acadmed.org.my
Nov 30th
12 tags
Case 2# The Not So Common AUR ~ :)
11 years old malay girl, primary amenorrhea, presented multiple times to casualty for recurrent AUR which relieved after insertion of urinary catheterization. She had advised to be admitted on last presentation for further workup but her father requested AOR (at own risk) discharge in view of work problems. She presented again with acute urinary retention for the past 1/7. This is associated with...
Nov 21st
42 notes
17 tags
The Cardioversion
This post is using ACLS 2010 (AHA) Guidelines recommendation:- To make things simple, arrhythmia that originating from atrial need lesser power (joules) of cardioversion as to compared with those from the ventricular in origin. How we differentiate this? simple. Look at the QRS complexes. If the QRS complexes are narrow, then it is atrial in origin, but if the QRS complexes are wide, (more then...
Nov 12th
6 notes
anyone knows how i can manage my archieve
i really like to put all my writing in a proper way so everyone could find it more easily, anyone know how?
Nov 12th
9 tags
Case 1#
40 y/asian/gentleman, NKMI presented to casualty department after had an MVA between a motorbike vs car. He is under the influence of alcohol. He was brought in by the passerby and no further history able to obtained at the point. Upon arrival the patient is confused, the GCS was 14/15 - e4v4m6, patient was unable to recall any mechanism of injury. The primary survey conducted as below; Trachea...
Nov 11th
6 tags
Whats new in BLS?: ACLS 2010 Guidelines (AHA)
The new ACLS guidelines release somewhere in the mid 2010. There is a multiple changes in the BLS guidelines that i would like to bring in today so that we would see the changes in managing patient with cardiac arrest The main changes in BLS in the new ACLS 2010 is the change in sequence from the old - Airway-Breathing-Circulation approach to the NEW early Compression and early Defibrillation...
Nov 11th
16 notes
the beginning
This blog is purposely build to share knowledge in Emergency Medicine. This acute care management is build on multiple studies as well as cases that we encountered in our center so that the knowledge may be shared, comments, and hopefully to improve the outcome of the patient care. It is understandable in each and every cases that we discussed in this blog page is change a bit so that the secrecy...
Nov 11th