Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.


LVADs & Tetanus

Adam Brunfeldt, MD

- involve the helper and the instructional trifold early! (both of these are always with the patient)
- Doppler BP is normally 70-80 mmHg, and pulses can be intermittent (normal)
- check clinical perfusion, coags, and alarms upon arrival... then switch power source (batteries or power module).
- prophylaxis dose is 250 units of tetanus immunoglobuin IM for dirty wounds, unvaccinated patient
- treatment dose is 6000 units (3000 if peds) IM, surgical consult for debridement, flagyl, and tons of valium.
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