基本知识 | 中国病理生理学会危重病医学专业委员会
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Rheumatoid Arthritis: In and Out of the Joint Mythili Seetharaman, MD  |  March 22, 2016 Rheumatoid arthritis (RA) is a chronic inflammatory disorder of the small joints of the hands and feet, in which synovial inflammation leads to joint erosion and deformity. It is an autoimmune condition that, besides affecting joints, also has systemic extra-articular manifestations. RA is more common in women older than 40 years. It is an independent risk factor for cardiovascular di...
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10 Common Wilderness and Environmental Medical Illnesses and Injuries William Selde, MD, FAWM; Will Smith, MD, FAWN, Paramedic  |  April 13, 2016 Outdoor recreational activities in wilderness environments or remote locations have become increasingly popular, with estimates of US consumer spending reaching $646 billion each year.[1] The growth of interest in these pastimes necessitates an understanding of the potential related illnesses and injuries, particularly in areas ...
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Best Practices: Emergency Airway Management Mark P. Brady, PA-C; Joseph U. Becker, MD  |  April 14, 2016 Many supraglottic airway rescue devices area available. The Combitube, Laryngeal Mask Airway (LMA) and the King Laryngeal Tube (LT) are devices in common use in North America. Conceptually, a supraglottic airway functions by occluding the esophagus and preferentially ventilating the trachea, while establishing a seal in the upper airway or posterior-pharynx to allow fo...
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Best Practices: Emergency Airway Management Mark P. Brady, PA-C; Joseph U. Becker, MD  |  April 14, 2016   Endotracheal intubation is a critical, often lifesaving procedure for severely ill or injured patients who cannot maintain adequate oxygenation, perform effective ventilation, or maintain a protected airway. Endotracheal intubation involves the placement of a cuffed tube below the vocal cords. Intubation is also often used when a patient is at risk for serious d...
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Best Practices: Emergency Airway Management Mark P. Brady, PA-C; Joseph U. Becker, MD  |  April 14, 2016 Anticipating and recognizing respiratory decompensation is only the first step in emergency airway management. Practitioners must be familiar with the indications and techniques for airway intervention and how to anticipate a difficult airway. The basic approach includes assuring airway patency, protection from aspiration, and providing adequate oxygenation and ventila...
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The Most Influential Physicians in History, Part 4: The Top Ten Steven Rourke; Grace Ellis  |  March 18, 2016 In this last installment of our four-part series, we dig into the achievements of the individuals we've named the top 10 most influential physicians in history, identifying the contributions that they made to medical practice, the context of their findings, and how they changed society as we know it. Now it's your turn. Are there physicians we've left off of the l...
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The Most Influential Physicians in History, Part 3: #20-#11 Steven Rourke  |  March 2, 2016 In part 3 of our four-part series, we examine the roles of 10 of history's most influential medical practitioners, taking a close look at their accomplishments and the context of their extraordinary achievements. Read on! Image from Dreamstime #20 Aaron Beck (1921–) The father of cognitive therapy, Dr Aaron Temkin Beck is considered one of history's most influential psychotherapis...
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The 50 Most Influential Physicians in History, Part 2: #35-#21 Steven Rourke; Grace Ellis  |  February 19, 2016 In this second part of a four-part series, we continue our examination of the leaders in medicine throughout history whose accomplishments have helped define medical knowledge and practice as we know it. From Dr Mahmut Gazi Yaşargil to Dr Barry J. Marshall, read up on these outstanding thinkers and accomplished clinicians, as we review their specific contributio...
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Keys to Diagnosing Broken Heart Syndrome (Takotsubo Cardiomyopathy) Mark P. Brady, PA-C   |  February 17, 2016 Electrocardiography The most common ECG finding in acute TCM is ST-segment elevation in the precordial leads (usually V2-V3),[1,3,20] although an initially normal or nonspecific ECG finding is seen in 20%-30% of affected patients.[1] The ST-segment elevation is then followed by diffuse T-wave inversions (as the ST segments normalize) along with QT prolongation. T...
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