Shortness of breath (SOB), known as dyspnea or dyspnoea, is an uncomfortable feeling of not being able to breathe well enough. The American Thoracic Society defines it as "a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity", and recommends evaluating dyspnea by assessing the intensity of its distinct sensations, the degree of distress and discomfort involved, and its burden or impact on the patient's activities of daily living. Distinct sensations include effort/work to breathe, chest tightness or pain, and "air hunger". The tripod position is often assumed to be a sign.
Pericardiocentesis (PCC), also called pericardial tap, is a medical procedure where fluid is aspirated from the pericardium.
The celiacartery, also known as the celiac trunk or truncus coeliacus, is the first major branch of the abdominal aorta. It is about 1.25 cm in length. Branching from the aorta at thoracic vertebra 12 (T12) in humans, it is one of three anterior/ midline branches of the abdominal aorta.
Scleritis is a serious inflammatory disease that affects the white outer coating of the eye, known as the sclera. The disease is often contracted through association with other diseases of the body, such as granulomatosis with polyangiitis or rheumatoid arthritis. There are three types of scleritis: diffuse scleritis, nodular scleritis, and necrotizing scleritis. Scleritis may be the first symptom of onset of connective tissue disease.
The right lymphatic duct is an important lymphatic vessel that drains the right upper quadrant of the human body. It forms various combinations with the right subclavian vein and right internal jugular vein.
Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used for venous access in cases of trauma, and hypovolemic shock when the use of a peripheral venous catheter is either difficult or impossible. The great saphenous vein is most commonly used. This procedure has fallen out of favor with the development of safer techniques for central venous catheterization such as the Seldinger technique, the modified Seldinger technique, intraosseous infusion, as well as the use of ultrasound guidance for placement of central venous catheters without using the cutdown technique.
Emergency ultrasound employing point-of-care ultrasound (POCUS) is the application of ultrasound at the point of care to make immediate patient-care decisions. It is performed by the health care professional caring for the injured or ill persons. This point-of-care use of ultrasound is often to evaluate an emergency medical condition, in settings such as an emergency department, critical care unit, ambulance, or combat zone.
Disaster medicine is the area of medical specialization serving the dual areas of providing health care to disaster survivors and providing medically related disaster preparation, disaster planning, disaster response and disaster recovery leadership throughout the disaster life cycle. Disaster medicine specialists provide insight, guidance and expertise on the principles and practice of medicine both in the disaster impact area and healthcare evacuation receiving facilities to emergency management professionals, hospitals, healthcare facilities, communities and governments. The disaster medicine specialist is the liaison between and partner to the medical contingency planner, the emergency management professional, the incident command system, government and policy makers.
Lipodermatosclerosis is a skin and connective tissue disease. It is a form of lower extremity panniculitis, an inflammation of the layer of fat under the epidermis.
Edward Goljan, M.D., is a Curriculum Coordinator, Professor of Pathology, and former Chair of Pathology at Oklahoma State University Center for Health Sciences, an osteopathic medical school in Oklahoma. In addition to his teaching and medical practice, he is well known for his development of resources for medical students studying for the USMLE and COMLEX.
A mass casualty incident describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995, the September 11 attacks in 2001, and the Boston Marathon bombing in 2013 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. A multiple casualty incident is one in which there are multiple casualties. The key difference from a mass casualty incident is that in a multiple casualty incident the resources available are sufficient to manage the needs of the victims. The issue of resource availability is therefore critical to the understanding of these concepts. One crosses over from a multiple to a mass casualty incident when resources are exceeded and the systems are overwhelmed.
Catherine (Kate) Elizabeth Ulbricht is a co-founder of the Natural Standard Research Collaboration. She is a Senior Attending Pharmacist at Massachusetts General Hospital. She serves on the editorial board of Harvard Health Publications, the Journal of the American Nutraceutical Association, and Pharmacy Practice News. She is editor in chief of the Journal of Dietary Supplements.
A joint effusion is the presence of increased intra-articular fluid. It may affect any joint. Commonly it involves the knee.
A pericardial window is a cardiac surgical procedure to create a fistula – or "window" – from the pericardial space to the pleural cavity. The purpose of the window is to allow a pericardial effusion or cardiac tamponade to drain from the space surrounding the heart into the chest cavity.
Dr. Ravindra Nanda is a professor and Head of the Department of Craniofacial Sciences and Chair of the Division of Orthodontics at the University of Connecticut School of Dental Medicine. He is part of the founding faculty of School of Dental Medicine and has been at the University of Connecticut since 1972 where he also holds an Alumni Chair in the Orthodontics Division. He is an innovator of various appliances in orthodontics. His research and clinical interests include adolescent and adult orthodontics, the biology of tooth mobility, craniofacial orthopedics, biomechanics and developing efficient mechanics to deliver orthodontic care.
Certified in Neonatal Pediatric Transport (C-NPT) is the designation in the USA for a paramedic, physician, respiratory therapist, neonatal nurse, nurse practitioner, nurse or physician assistant who has earned certification from the National Certification Corporation in neonatal and pediatric transport. This certificate of added qualification was rolled out in 2009. National Certification Corporation utilizes applied measurement professionals to administer its tests.
Andy S. Jagoda is an American physician and Professor and Chair Emeritus of the Department of Emergency Medicine at Icahn School of Medicine at Mount Sinai.
Joseph F. Waeckerle is an American physician specializing in emergency and sports medicine. He directed the search and rescue efforts at the Hyatt Regency walkway collapse in Kansas City, Missouri, on July 17, 1981. He is currently Clinical Professor of Emergency Medicine, University of Missouri–Kansas City School of Medicine and Editor Emeritus of Annals of Emergency Medicine. He previously served as Chief Medical Officer for the Office of Homeland Security, State of Missouri and Medical Officer for the Kansas City Division of the FBI.
Gregory R. Ciottone is an American physician specializing in disaster medicine and counter-terrorism medicine. He is an associate professor of emergency medicine at Harvard Medical School and the founding director of the BIDMC Fellowship in Disaster Medicine, the first of its kind in a Harvard teaching hospital. As well, he holds the position of director for medical preparedness at the National Preparedness Leadership Initiative, a joint program of the Harvard T.H.Chan School of Public Health and the Center for Public Leadership at the Harvard John F. Kennedy School of Government. He also serves as a consultant to the White House Medical Unit for the Obama, Trump, and Biden administrations. In 2019 he was elected president of the World Association for Disaster and Emergency Medicine. (WADEM).
Scott Laurence Rauch is the President, Psychiatrist in Chief, and Rose Marie and Eijk van Otterloo Chair of Psychiatry of McLean Hospital, who is known for his work using brain imaging methods to study psychiatric dysfunction. He is a professor of psychiatry at Harvard Medical School.
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