What is the name of the condition where the heart beats with rapid, electrical impulses?
What is the tube that is inserted into the mouth called?
About this website
What is push an EPI?
In the Alameda County EMS system, push dose epinephrine is in the protocol for management of shock suspected due to hypovolemia, sepsis and decreased cardiac output (i.e., cardiogenic). After empiric fluid resuscitation, 0.5 mL aliquots of 10 mcg/mL epinephrine is to be administered, titrating to SBP > 90 mmHg.
What is an epi in surgery?
Epinephrine is commonly used in plastic and reconstructive surgeries to reduce the blood loss, and to achieveing the lowest and the most effective dosage of epinephrine can improve the results of the surgery.
Are the medical terms on GREY's Anatomy real?
The producers of the show actually consult real doctors, medical professors, and students in order to make sure the terms used on the show are accurate. So, when you hear Dr. Hunt and Dr. Kepner bark orders in the ER, what they're saying are medical terms.
What does rounds mean in GREY's anatomy?
Rounds: The act of seeing patients in the hospital or another in-patient setting.
What does EPI mean in medical terms?
Pancreatitis, cystic fibrosis and other conditions that affect the pancreas cause exocrine pancreatic insufficiency (EPI). People with EPI don't have enough pancreatic (digestive) enzymes to break down foods and absorb nutrients. It can lead to malnutrition.
What does EPI mean in anatomy?
Epi- = Over, Upon. Pertaining to: the tissue upon the skin (outer most layer) the tissue covering the cranium. The area above the sternum.
What is the most medically accurate show?
A Doctor Ranked Popular TV Shows Set in Hospitals by Their Medical AccuracyNew Amsterdam. ... Grey's Anatomy. ... Scrubs. ... Chicago Med. ... Code Black. ... House, M.D. ... The Good Doctor. ... E.R. It's decades old by now, but it remains a classic for a reason.More items...•
What does 007 mean in medical terms?
007 is a nickname given to surgeons who tend to kill their patients, originating from James Bond's code number, which means "License to kill." History In A Hard Day's Night, George was asked to assist in an appendectomy and almost killed the patient, earning himself the nickname 007.
How accurate is the good doctor?
"The Good Doctor" has some errors but is more realistic than many other medical TV shows. In an interview with TV Insider, the show's medical consultant Dr. Oren Gottfried discusses how he suggests actual medical incidents from real life to the writers.
What do doctors do during rounds?
Rounds are when the medical team visits each inpatient as a group to review the patient's status and care plan. Sharing your observations and asking questions during rounds can provide: Valuable information exchange that can affect treatment and care planning.
What time do doctors do their rounds in hospital?
The Basics. Q: What is a ward round? A: A ward round is when the doctors ± other members of the multidisciplinary healthcare team (MDT) (e.g. doctors, nurses, ward coordinator) visit all the in-patients. Ward rounds take place first-thing in the morning (between 7 – 10am).
What does making your rounds mean?
: to be passed from one person to another person and become widely known Rumors about his resignation were making the rounds.
What does ETI o mean?
cause or origineti/o. Prefix denoting cause or origin. Etiology. The study of causes, as in the causes of a disease or an abnormality.
What is the medical term for Endo?
Endometriosis, frequently referred to as just “endo”, is a genetic disease that affects women and causes pain, inflammation, and infertility. The severity of pain varies from person to person, just as the severity of disease does, however they are not linked.
What does EU mean in medical terms?
Prefix denoting good, well, normal.
What is Sub medical term?
Sub-: Prefix meaning meaning under, below, less than normal, secondary, less than fully. As in subacute, subaortic stenosis, subarachnoid, subclavian, subclinical disease, subcutaneous, subdural, subglottis, subjacent, sublingual, subluxation, and subtotal hysterectomy.
Greys anatomy- medical terms Flashcards | Quizlet
Study with Quizlet and memorize flashcards containing terms like 10- Blade, 15-Blade, Internship and more.
Grey's anatomy medical terms Flashcards | Quizlet
Study with Quizlet and memorize flashcards containing terms like 10-Blade, 15-Blade, Attending and more.
Medical Glossary | Grey's Anatomy Universe Wiki | Fandom
This is a medical glossary for any medical vocabulary that appears in Grey's Anatomy and Private Practice. The items listed here may vary from surgical instruments to diseases, surgeries, and surgery specialties. 10-Blade: The type of blade used on a scalpel. It is generally used for making small incisions in skin and muscle. (See scalpel for further details) 15-Blade: The type of blade used ...
How much epinephrine is in a 10 ml syringe?
Push dose epinephrine can be made by drawing 1 mL of 1:10,000 cardiac epinephrine (100 mcg) in a 10 mL syringe and then drawing 9 mL of normal saline. The syringe should be mixed by vigorously rolling it between the palms and is then ready to be infused by slow push. Every mL of the now 1:100,000 epinephrine contains 10 mcg of epinephrine. Thus, a dose of 10 mcg per minute is 1 mL every minute. The dose is then titrated to the desired effect. 3
How long to transport epinephrine?
The dosing is relatively straightforward. It doesn’t require a pump on any specialized IV tubing and you’re not left with lots of left over or wasted solution when you reach the hospital. However, it does require a dedicated person to mix and administer the medication. Since the volume is relatively small, on a transport of more than 5—10 minutes it’s likely that more than one syringe will need to be made. These factors make it best suited for situations where it can used for short durations such as transports lasting less than 10—15 minutes, transient hypotension, or as a bridge to fluid resuscitation or vasopressor drips.
How many mcg per ml of epinephrine?
If it’s anticipated the patient will require more than just a few minutes of vasopressor support, an epinephrine drip can be mixed and infused at the same dose. To make an epinephrine drip mix 1 mg in NS to make 100 mL total. Using 10 drips per mL IV tubing every drip is about 1 mcg, 10 mcg/ml.
What vasopressor is used in EMS?
However, a patient in shock who requires emergent airway management often requires vasopressor support. 1 Dopamine is usually used as the first-line vasopressor in EMS, but epinephrine is a readily available vasopressor carried on every ALS unit.
Why is intubation considered a terminal procedure?
If intubation is attempted in the current physiologic state it will likely be a terminal procedure or “clean kill” because many induction agents for intubation cause hypotension.
Can an IV be used as a vasopressor?
If the IV was difficult to start or took multiple attempts, it should not be used for vasopressor infusion. Medication that infiltrates will not be as active as the IV route. Given the ubiquity of epinephrine in ALS units, it’s an obvious choice for EMS to use as a temporizing vasopressor. Literature also supports the use of epinephrine.
Is Push Dose Pressors good for shock?
It has both vasoconstrictive, chronotropic and ionotropic effects that make it a good choice for distributive and cardiogenic shock. Push Dose Pressors. It’s an established practice in anesthesia to use small doses of vasopressors for a short period of time to optimize patient hemodynamics.
What does it mean to intubate a patient?
In its shortest definition, to intubate a patient means to place a tube in them - commonly in their trachea (known as a breathing tube) when they aren't breathing properly on their own, in order to perform mechanical ventilation, a life-saving measure.
What is the pump in Grey's anatomy?
It is a pump that helps a failed ventricle and takes the strain off of the heart by using both an inflow tube, connecting the LVAD to the heart, and an outflow tube, which connects the LVAD to the aorta, helping deliver that blood to the rest of the body.
What season of Grey's anatomy is LVAD cut?
This medical term from Grey's became famous in season two , as Dr. Isobel Stevens cut the LVAD of patient and lover Denny Duquette, a heart transplant recipient, so he could move higher up on the donor list, as doing so would worsen his condition. "LVAD" is a medical acronym that stands for "Left Ventricular Assist Device."
What is the central line in Grey's anatomy?
A "central line" is a catheter that is placed in a large vein so that more than one IV can be administered and blood may be drawn when necessary.
Why do we need a shunt?
A shunt is a hollow, narrow tube that is placed into the brain or the spine in order to aid cerebrospinal fluid in the brain to drain somewhere else into the body for it to be reabsorbed. A shunt is a critical medical tool, as fluid in the brain is life-threatening.
What causes EPI?
EPI starts in people who have a damaged pancreas or a health condition that keeps the organ from working as it should. You might be at risk if you have: 1 Surgery on your stomach, pancreas, or gallbladder 2 A disorder that affects your pancreas, like cystic fibrosis, Shwachman-Diamond syndrome, or pancreatic cancer 3 Stomach ulcers 4 Celiac disease
Why is it important to test for EPI?
In this genetic disorder, your body makes a thick, sticky mucus that can block the pancreas and keep it from releasing enzymes. If you have cystic fibrosis, your doctor might want to test you for EPI. It's especially important to get pancreas problems diagnosed in children because they need the right amount of nutrients and vitamins to grow.
What is the EPI of the pancreas?
Chronic Pancreatitis . Cystic Fibrosis . Next Steps . Exocrine pancreatic insufficiency (EPI) is a condition that happens when there's a problem with your pancreas, mainly with how well it helps you digest food. Your pancreas makes enzymes that break down the fats, proteins, and starches you eat so your body can use them.
What is the name of the genetic disorder where the body makes a thick sticky mucus that blocks the pancre?
Cystic Fibrosis. In this genetic disorder, your body makes a thick, sticky mucus that can block the pancreas and keep it from releasing enzymes. If you have cystic fibrosis, your doctor might want to test you for EPI.
What is the term for a pancreatic insufficiency?
Exocrine pancreatic insufficiency (EPI) is a condition that happens when there's a problem with your pancreas, mainly with how well it helps you digest food.
Can EPI cause anemia?
Without treatment, EPI can make you malnourished -- you won't get enough important vitamins and nutrients from your diet -- and it can lead to other serious conditions, such as thinning bones (osteoporosis) or the blood condition anemia.
What is a push dose pressor?
Push dose pressors, also called bolus dose pressors, are just what the name implies; the drug is bolused to emergently manage hypotension. It is a practice that has a home in anaesthesia, as it can be useful to manage the transient hypotension associated with induction agents given during intubation.
Does epinephrine cause tachycardia?
Traditional thinking is that epinephrine, because of its beta stimulation, is more likely to cause tachycardia. Phenylephrine, because of its pure alpha stimulation, may result in reflex bradycardia. However, episodes of tachycardia and bradycardia have been reported with both [6].
Is PDP dangerous in prehospital?
But the fast-paced prehospital environment also makes PDP very risky. Different partners, different agencies, different levels of care are all things that can lead to medication errors, a known problem with PDP. In the final analysis, two things can be said about prehospital use: First, more research is necessary – specifically outside of hospital. Second, to be used safely, it should not be done on the spur of the moment. A common language, preparations and guidelines for use will protect the patient (and the provider!) from the known risks of these potent drugs.
Does epinephrine help with hypotension?
Push dose epinephrine also improves hypotension, but has been studied less. A small series of post arrest patient reports the use of 10 mcg boluses used to restore systolic blood pressures in the 60s mmHg to systolics in the 100s mmHg in three patients [3]. A retrospective review of push dose epinephrine during critical care transport demonstrated MAP of 13 mmHg with a 10-20 mcg dosing protocol [4].
What is the name of the condition where the heart beats with rapid, electrical impulses?
2. "S/He's in V-Fib". Otherwise known as ventricular fibrillation ... it's a rhythm condition where the heart beats with rapid, electrical impulses. This makes the chambers in your heart to quiver instead of pumping blood. The blood pressure then plummets, and the blood supply to your vital organs is cut off.
What is the tube that is inserted into the mouth called?
Often followed by a doctor inserting a tube into a patients mouth, I've discovered the tube is called an "endotracheal tube" and is inserted into the airway and the patient is placed on a ventilator to help them breathe by pushing air into their lungs. The process was first brought to our attention when my favorite character, George O'Malley, failed to do so in front of the prestigious Dr. Burke.
Prehospital Shock
Move to Epinephrine
- For years, dopamine has been the first-line vasopressor for EMS, but a growing body of evidence has supported the preference of other agents. When compared to norepinephrine, for example, dopamine is associated with a higher incidence of arrhythmias, is a less potent vasopressor; and for those with cardiogenic shock, has been shown to increase mortality.4 Epinephrine, like norep…
Push Dose Epinephrine
- The “code” or “cardiac” epinephrine stored on ALS ambulances is in a 0.1 mg/mL concentration. To make push dose epinephrine, it needs to be diluted to a 0.01 mg/mL (10mcg/mL) concentration before being administered through a peripheral vessel. This is usually done using a 10-mL syringe and given in 1-mL aliquots known as a “push dose” or “bolus dose.” For years, pus…
Safety
- Peripheral extravasation of a vasopressor can lead to complications of tissue ischemia. This is thought to be less likely with push dose vasopressors given their reduced concentration and short duration. In 2016, a prospective observational study of 55 patients receiving vasopressors through a peripheral vessel, only three had extravasation and one developed thrombophlebitis. T…
Protocol & Training
- In the Alameda County EMS system, push dose epinephrine is in the protocol for management of shock suspected due to hypovolemia, sepsis and decreased cardiac output (i.e., cardiogenic). After empiric fluid resuscitation, 0.5 mL aliquots of 10 mcg/mL epinephrine is to be administered, titrating to SBP > 90 mmHg. Prior to protocol implementation, all...
Post-Rosc
- Nine months after implementation of the Alameda County protocol, push dose epinephrine was used 34 times, mostly used for shock after achieving the return of spontaneous circulation (ROSC) after a cardiac arrest (61.8%). This was followed by its use in patients suspected of septic shock (22.6%) and cardiogenic shock (19.0%). Paramedics commonly documented an improve…
Back to The Case
- After attempts at fluid resuscitation, your 79-year-old patient remains hypotensive. She’s likely in septic shock from a urinary tract infection. You prepare a syringe of push dose epinephrine and administers a total of 10 mcg of epinephrine. Her mean arterial pressure improves to 65 mmHg with a corresponding improvement in her appearance and mental status as you arrive to the hos…
Conclusion
- The Alameda County EMS System is confident that push dose epinephrine can be a temporary blood pressure rescue medication and serve as an important treatment in prehospital shock. References 1. 2019 Alameda County field manual. (2019.) Alameda County EMS Agency. Retrieved March 13, 2019, from https://ems.acgov.org/ems-assets/docs/Documents-Forms/ALC…