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When things get stuck.(CLINICAL PEARLS)(Report)
Under the "dictations gone bad" heading, Dr. Robin Cole of Seattle had a patient with a stenotic cervix who needed a hysteroscopy and D&C.
The doctor dictated that the patient should take a misoprostol pill orally, the night before surgery. Instead of misoprostol, the transcriptionist typed "take a nasal pustule orally." Yuck. Enough of that. Now on to some great pearls.
Stuck Head Tips
We recently published a pearl by Dr. Babak Jebelli of Riverside, Calif., recommending the use of a single forceps blade to help with the delivery of a stuck head during a cesarean section. In response, several doctors wrote in to share their ideas for dealing with this dilemma. Dr. Christopher J. Roach of Durango, Colo., says to remember the "Don't flex your wrist" rule that prevents extensions and lacerations of the uterine incision. Dr. Roach also suggests that upward pressure on the fetal shoulders can often help.
More Stuck Head Tips
In variations of the frog-leg technique. Dr. Kenneth W. Elkington of Greeley, Colo., says that after a prolonged second stage, place the patient in a frog-legged (heels together) position in the OR and attempt to slowly elevate the vertex. If successful, then reposition and prep and drape the patient in the usual manner. Otherwise, keep the patient frog-legged. After the abdominal prep and drape, double glove and make a slit in the drape just below the mons pubis and cover with a sterile towel. If the fetal vertex cannot be atraumatically elevated from above during the ceserean, then use the bimanual technique. In effect, the surgeon ...
- Victim apparently stuck head out of SUV.
- News wire article from: UPI NewsTrack August 14, 2007 700+ words
CLARKSTOWN, N.Y., Aug. 14 (UPI) -- A New York man apparently was killed when he stuck his head outside an SUV and his head struck a pole, police said. Clarkstown, N.Y., police say minutes before passenger Aleksandr Shvartser, 29, of Brooklyn was killed Sunday they received a call from the driver of
- PBOC head tips 8pc growth on track after strong quarter Premier says economy on...
- Newspaper article from: South China Morning Post June 30, 2009 700+ words
Byline: Cary Huang in Beijing People's Bank of China governor Zhou Xiaochuan said yesterday the mainland economy might have expanded more strongly in this quarter than in the first three months and is on track to achieve the 8 per cent growth target this year. Mr Zhou's comments at the signing in
- Three people dead, one critical and three missing following avalanches in...
- News wire article from: The America's Intelligence Wire February 6, 2005 700+ words
...Salzburg province. The boy was trying to go down the mountain in the deep snow next to the lift tracks when he fell and got stuck head-down in the powder next to a tree, APA reported. A man swept away by a snow slide in the mountains near Weisskirchen...
- Crash before you drive.
- Magazine article from: Ground Warrior Johnston, John June 22, 2003 700+ words
...t seen a convenient place to pull over, and you have only enough money for gas. Suddenly, you lose your focus, and your head tips forward. You have loose, disconnected thoughts. Then, suddenly, you realize you have driven several miles without really...
- Search continues for POWs, Saddam, weapons of mass destruction.
- News wire article from: Knight Ridder Washington Bureau (Washington, DC) April 9, 2003 700+ words
...He said he did not know how much the United States would pay for Saddam. Osama bin Laden has a $25 million price on his head. Tips have "been very useful to us already at low levels, people in towns leading us to Baath party leaders and to schools where...
- Mayhem on the road.
- Newspaper article from: New Straits Times January 21, 2006 700+ words
...psychological thing since there's no physical contact, no TV-to-gamer force feedback. It's all visual, it's all in your head. TIPS Boost Start During the countdown before the start of an event, hold down Square. Release Square just before the countdown...
- `In a Sunburned Country,' by Bill Bryson; Broadway ($25).
- News wire article from: Fort Worth Star-Telegram (Fort Worth, TX) June 12, 2000 700+ words
...sprinkled with examples of how he's just like you or me on a trip. When he falls asleep in a car, train or plane, his head "tips forward to empty a quart or so of viscous drool." Bryson often gets lost, and, when he does, dogs seem to chase him...
- U. Pittsburgh: Pittsburgh swim teams go to championships, men look for 8th...
- News wire article from: The America's Intelligence Wire February 20, 2003 700+ words
(From University Wire) Byline: Shauna Stuck Head swimming and diving coach Chuck Knoles parallels the University of Pittsburgh men's team's continuing triumphs in the Big East...
- Gullet.(Poem)
- Magazine article from: The Southern Review Williams, Lisa September 22, 2006 700+ words
...like to watch that part-- take satisfaction in the berry's roundness as it's caught in pointed lines before the bird's head tips to roll it back. Each berry was a beauty for some gullet to transform. They are seekers flying over fields I know whose dry...
- Ogden woman OK after spending full day lodged in vent: Cleaning catastrophe ?...
- News wire article from: The America's Intelligence Wire January 6, 2009 700+ words
...aunt's door around 4 p.m. Monday. When officers walked inside, they heard someone calling for help and found the woman stuck head-first down a large cold-air-return vent. Ogden Fire spokesman Chad Tucker said the woman had been vacuuming her vents...
Source: HighBeam Research, When things get stuck.(CLINICAL PEARLS)(Report)