Pharmacology Clonidine is an imidazoline, a class of drugs that function as centrally-acting presynaptic alpha 2 agonists . Essentially clonidine acts like pushing down on the break pedal of sympathetic output thus decreasing sympathetically mediated vasoconstriction, cardiac inotropy, and chronotropy. It has rapid GI absorption and highly lipid soluble with excellent CNS penetration. Peak concentration is reached at 3 to 5 hours. [...]
Video laryngoscopy is the wave of the future and it has already crested onto the shores of the pediatric ED. Unlike New Coke (TM) it is here to stay. Check out these videos that give an overview of the use of video laryngoscopy in the pediatric ED, as well as specifics on the Stroz C-MAC and Glide Scope. And yes, I'm [...]
Type I Nondisplaced or minally displaced fracture On the lateral view: anterior humeral line remains intact but a posterior fat pad sign may be present Treatment Treated w/ immobilization in long arm posterior splint w/ elbow flexed and outpatient Ortho follow up Type II Posterior cortex remains intact, making it a greenstick fracture technically Treatment Require adequate reduction and [...]
