Transfusion guidelines for blood, for both adults and pediatrics.

Guidelines for blood draws. Includes supplies needed, step by step venipuncture procedure, order and color of tubes. Also Includes details on intravenous site for blood draws with anatomical sites for punctures.

Find the right suture material and follow our procedure guidelines. Laceration repair guidelines with recommendations for local anesthesia, suture type and suture removal schedule. Details different suture types and other closure options.

IV catheter selection guide based on gauge and use with associated implications. Central line listing along with information regarding flushing solutions and frequency for each type of line.

Commonly used intramuscular (IM) injection sites and how to perform IM, subcutaneous and intradermal injections correctly.

Log for keeping track of all the procedures you have completed. Procedures listed are based on the America Board of Internal Medicine (ABIM) for Internal Medicine Residents.

Detailed review of supplies, preparation and procedures for central venous catheter placement, thoracentesis, paracentesis, lumbar punctures, arthrocentesis and joint injections. Also includes lab tests to order, Light's criteria for pleural exudates and diagnostic clues from pleural fluid appearance.

Procedure note examples for Endotracheal Intubation, Internal Jugular Central Venous Catheter insertion, Femoral Central Venous Catheters, Lumbar Puncture (including lab tests to order by tube) Radial Artery Line Placement, and Paracentesis.

This section describes the dosing and side effects of Intravenous Immunoglobulin (IVIG). Also describes Plasma Exchange. IVIG is used to treat various autoimmune, infectious, and idiopathic diseases. IVIG is an approved treatment for graft versus host disease and ITP. It is accepted for use in persons with Kawasaki disease, Guillain-Barré syndrome, and polymyositis/dermatomyositis.

Dosing and side effect profiles of commonly prescribed antidepressants; sleep hygiene recommendations and comparison chart of antipsychotic adverse effects.

Advanced chart of critical care medications with dosages, comparison of physiological responses, target receptors and half-lives. Includes pressors, IV beta blockers, calcium channel blockers and vasodilators.  

Medications used for rapid intubations with dosing and cautions. Also includes select other medications used for emergency situations (hypertensive emergency, anti-epileptics, and others).

Detailed listing of commonly prescribed opioid and non-opioid pain medications with doses, uses, contraindications and warnings. Steroid comparison chart with equivalents and conversions are also included.

This chapter focuses on the treatment of patients with acutely elevated blood pressures. Drug treatments are listed and include mechanisms of action, dosages, duration and adverse effects. 

Listing of common medications that should not be crushed when given to patients.

Algorithm for initiation and escalation of hypertension drug treatments based on comorbidities. The management of hypertension in diabetes is also included.

EKG unipolar and bipolar lead locations with detailed review of regular and right sided lead placement. Review of Einthoven's triangle. Anatomical review of lead locations, lung views, lobes and cardiac auscultation points.

Chapter includes Acute Coronary Syndrome (ACS) definitions, as well as algorithms for Cardiac Stress Testing, STEMI, NSTEMI, unstable angina and chronic stable angina. Includes Heart Score, EDACS (Emergency Department Assessment of Chest Pain) Scores and TIMI risk scores. 

Extensive chapter reviews Acute Coronary Syndrome (ACS) workup and treatments for STEMI, NSTEMI, UA. Includes TIMI Risk Scores, Killip Classification and Canadian Cardiovascular Society Angina Classification. Stress testing algorithm and the acute management of myocardial infarctions with details on medications and interventions included.

HIV basics with screening guidelines, disease testing, antiretrovirals and initial treatment regimens. Listing of CD4+ counts and complications.

Classification of cellulitis infections based on severity along with antibiotic treatment recommendations based on severity and risk factors for MRSA, anaerobes and Pseudomonas.

Comparative Cerebral Spinal Fluid (CSF) compositions for different conditions. Includes comparison of cell type, wbc, pressure, glucose, protein, and miscellaneous testing options for bacterial meningitis, viral meningitis, herpes encephalitis and many other conditions.

Commonly seen infections in Long Term Care (LTC) facilities with antibiotic treatment guidelines. This chapter is updated with the newest C. diff diarrhea guidelines from the Infectious Disease Society of America (IDSA) in 2018.

Helpful chapter on tests and exams to preform for declaring death. Includes brain death criteria and physical exam techniques. Sample Death Note included.

Daily Progress Note template to help you write daily progress notes in the right sequence with general guidelines.

Sample hospital admission orders in sequence with explanations to help guide you as you write your hospital admission orders.

Admission history and physical exam template for labor and delivery. Includes descriptors to help with each section.

Clinical note templates/samples including general progress (SOAP) notes, cross-cover, procedure, death, ICU, surgical and discharge/ transfer notes.&nbsp;<br style="color: rgb(76, 76, 76); font-family: Noto, &quot;Lucida Grande&quot;, Helvetica, Verdana, Arial, sans-serif; font-size: 13px;"><br>

Evidence based recommendations on avoiding wasteful or unnecessary medical testing, treatments and procedures for geriatric patients. Developed by the American Board of Internal Medicine and the American Geriatrics Society.

Listing of over 50 abbreviations commonly used by medical professionals. Also includes common symbols and unapproved abbreviation listing.

Commonly used medical phrases with Spanish translations.

<p>This chapter includes CURB-65 and Pneumonia Severity Index (PSI)&nbsp;scores pneumonia severity as well as treatment guidelines for community acquired, hospital acquired, and ventilator-associated pneumonias. Includes the latest evidence based antibiotic treatments for pneumonia, clinical indicators for additional diagnostic testing, risk factors for medication toxicity and poor tolerance of antimicrobial agents.</p><p><br></p><p><br></p>

The Wells’ Criteria is a clinical prediction tool that can be used to stratify patients for risk of clot. Includes two tools: one for PE risk calculation and one for DVT risk calculation. Criteria have been validated in both inpatient and emergency department settings. Its score is often used in conjunction with d-dimer testing to evaluate for PE.

Interpret ABGs (arterial blood gasses) and acid-base status with step-by-step instructions to determine primary disorders and expected compensation. Includes differential diagnoses for metabolic or respiratory acidosis/alkalosis. Also includes how to calculate and use A-a gradients to evaluate hypoxemic conditions.

Comparison of oxygen delivery systems. Includes flow rate, percentage of oxygen, and information on how and when to use. Also includes typical pharmacy PO/IV medication administration times and list of selected medications that can only be administered using IV pump.

Guidelines for management of acute stroke including inclusion and exclusion criteria for the use of TPA and mechanical thrombectomy in acute stroke. The chapter also covers stroke mimics, stroke syndromes with diagrams of location and relevant vasculature, and the NIH stroke scale.

Confusion Assessment Method (CAM-ICU) tool used to diagnose and monitor delirium in ICU patients.

Use this chapter to calculate risk of stroke in non-valvular a-fib with the CHA2DS2-VASc stroke risk calculation tools. Also includes the companion HAS-BLED bleeding risk scoring tool.

What to expect with cross cover call for neurological conditions including altered mental status, delirium, seizure, and CVA and what to do in those situations.

<p>Chapter reviews antiepileptic drug (AED) use, target serum level, and side effects.</p>

<p>Ataxia differential with Parkinson's symptoms and treatments.&nbsp;</p>

<p>EEG electrode placement map with frequencies.&nbsp;</p>

<p>Electromyogram (EMG) and nerve conduction study (NCS) characteristics.&nbsp;</p>

<p>Lumbar puncture procedure.</p>

<p><span style="color: rgb(84, 84, 84); font-family: Roboto, arial, sans-serif; font-size: small;">The MoCA is a cognitive screening test designed to assist health professionals in the detection of mild cognitive impairment and Alzheimer's disease.</span></p>

MRI modalities T1 and T2 differences.

Autonomic system throughout the body with Parasympathetic and Sympathetic innervations as well as relevant nuclei and ganglia.

<p>Extensive listing of commonly used neurology drugs with half-life, metabolism, dosing and contraindications.&nbsp;</p>

<p>Palsy differential for cranial nerves III, IV, VI with the eight classical cortical aphasias.&nbsp;</p>

<p>Drugs used in the treatment of Parkinson's Disease. Table contains drug action, use, and side effects.</p>

<p>Illustrations of the lumbosacral and brachial plexuses.</p>

<p>Listing of the small fiber neuropathies and radiculopathies.&nbsp;</p>

<p>Guidelines on the diagnosis and treatment of convulsive status epilepticus (SE) and non-convulsive status epilepticus.</p>

<p>Chapter lists where tumors are more likely to spread in metastatic disease.</p>

<p>Chapter reviews the associated symptoms, differential diagnosis and treatments of vertigo.<br></p>

<p>Easily locate visual field lesions using this chapter that helps you correlate your visual field clinical exam findings with the anatomic location of the lesion.<br></p>

Listing of the various hospital diets including restrictions for each type of specialized diet. Chapter has tables covering common nutritional supplements/meal replacements. Types of dysphagia are also covered as are descriptions, standard labeling, and abbreviations for dysphagia modified food and liquid consistencies&nbsp;according to the International Dysphagia Diet Standardisation Initiative (IDSSI).

Most up-to-date guidelines and indications for intrapartum group B streptococcal (GBS) prophylaxis.

Recommended antimicrobial prophylactic regimens by gynecological procedure.

Listing of Over the Counter (OTC) medications considered safe in pregnancy with FDA Pregnancy Class listing.

This section includes a detailed menstrual cycle diagram covering events in ovulation. This chapter also includes the Stages of Labor as well as fetal heart rate monitoring parameters with accompanying fetal heart rate interpretation system.

Commonly used OB medications for labor, delivery and post-op medications for nausea, sleep, infections, itching, hemorrhage, GBS and more.

Sample OB notes with descriptors for Intrapartum Progress Notes, Delivery Note -Vaginal Delivery, Delivery Note - C section, and Postpartum Progress Notes.

Guidelines on the treatment of asymptomatic UTI and acute cystitis in pregnancy. Includes antibiotic dosing.

Osteopathic physical exam with details on Osteopathic Manipulative Medicine contraindications.

Ottawa ankle and Ottawa knee rules with sets of guidelines for clinicians to help decide if a patient with foot, ankle or knee pain requires an X-ray to diagnose a possible fracture.

Latest available U.S. Preventive Services Task Force recommendations for cervical cancer screening.&nbsp;

The U.S. Preventive Services Task Force (USPSTF) is an independent panel of experts in primary care and prevention who develop recommendations for clinical preventive services. Screening recommendations in this chapter include, colorectal, skin, cervical, testicular cancers, as well as checkup recommendations for BMI, cholesterol, BMD, infectious diseases, eye, hearing and immunizations.

Extensive tables providing guidance for MRI/MRA/MRV study selection/indications/IV contrast requirements and cautions. Ultrasound tables provide information to aid in selection of study type/indication and NPO status required for each study.

General guide for radiology order structure, common radiology order abbreviations and renal function precautions.

Extensive tables providing guidance for nuclear studies/PET scan study selection/indications and patient preparation, including NPO requirements for each type of study.

Chapter contains indications for each type of interventional radiology procedure, contrast use, need for conscious sedation and labs, NPO status and typical exam time.

Tables of common diagnostic x-rays describing joints included and typical views. Also includes common fluoroscopy studies (e.g. GI related barium studies, myelograms, etc.) with indications and patient prep requirements.

Chapter contains information on contrast media reactions with treatment guidelines, protocols for premedication for known contrast allergies, metformin precautions and precautions to avoid nephrogenic systemic fibrosis with MRI contrast agents.

Extensive tables providing guidance for CT study selection/indications/IV contrast requirements and patient preparation. Ultrasound tables provide information to aid in selection of study type/indication and NPO status required for each study.

Chapter has age based pediatric vitals and age-based hypotension definitions as well as evaluation and treatments for common pediatric conditions. The chapter has a comprehensive Asthma treatment guide including pediatric asthma score, asthma treatment steps with medication charts. There are also treatments for Bronchiolitis, Croup,and ear infections. age-based febrile infant evaluation/treatment protocols and common OTC meds with dosing.

Chapter details treatment options for ear infections, detailed pediatric asthma treatment, asthma treatment ladder and pediatric asthma score, sepsis rule out, pneumonia treatment and commonly used medications.

Latest recommendations for adult pneumonia vaccinations series, including PCV15 (Vaxneuvance), PCV20 (Prevanar 20) and PPSV23 (Pneumovax 23)

Common Evidence Based Medicine (EBM) clinical study types are defined along with approach to evaluation of randomized control trials. Also includes Fagan nomogram that allows you to estimate the probability of disease given a particular test result. Great pocket resource for EBM review and referencing.