MedicalEdge

  • Subscribe to our RSS feed.
  • Twitter
  • StumbleUpon
  • Reddit
  • Facebook
  • Digg

Wednesday, July 27, 2011

Diabetes: Part 2/2

Posted on 12:00 AM by Unknown
Diabetic emergencies are not uncommon in the emergency room. In simple terms, there are two types of diabetic emergencies: the blood sugar is too low or the blood sugar is too high.
Hypoglycemia: This is a term used when the blood sugar is too low. Often times, in a person with diabetes, it is the result of taking too much of their medication causing sugar levels to drop. This is not the only thing that can cause a blood sugar to be too low.

Unrelated to diabetes, in the pediatric population, particularly among infants, there can be several causes of low blood sugar. Some of the top reasons are sepsis (blood or urinary tract infection), stress, and hypothermia (low body temperature).
Hypoglycemia is relatively easy to treat. If the patient is alert enough to swallow something, we can give them sugar by mouth (orally). It can be as simple as having them drink a small container of juice or giving them a fancy commercial preparation of sugar. If they are unable to take anything by mouth, then an IV is placed and the sugar (glucose) is given intravenously in the form of Dextrose.
Diabetic Ketoacidosis: Otherwise known as DKA. This results from a high level of sugar in the blood. As part of this, there is also a build-up of acids (ketones) in the blood as well. See last post for full explanation of this process. In order to correct this emergency, we have to bring both the blood sugar down and clear the ketones (the acidosis).
1.   Start an IV and get labs. There are several labs that need to be closely monitored in the diabetic patient. We’ll get a BMP (basic metabolic panel). This can also be known as a Chem 7 (or other number depending on how many items are measured). We’re looking specifically at the blood salts: potassium and sodium. These shift as sugar shifts. A BMP is generally monitored every 4-6 hours. Every hour, the patient will get a bedside glucose. We can only bring the sugar down so fast, typically no more than 50-100 points an hour. If the sugar falls too quickly, this can be problematic for the patient.
2.   Give IV fluids in the form of normal saline. Typically, the patient has a relative dehydration. Fluids are given very carefully as rapid fluid resuscitation can cause build up of fluid in bad places… like the brain (called cerebral edema). This is a phenomenon more common in pediatrics than the adult population. Giving fluids will also help the body clear ketones.
3.   Give insulin. Insulin is given to move the sugar from outside the cell (extracellularly) to inside the cell (intracellularly). This will bring the blood sugar level back down.

At some point, when the sugar level comes down to around 250 (remember normal level is 60-120) we will add IV fluids that contain sugar and continue to give the insulin until the ketones are cleared or the patient is no longer acidotic. We can check this by checking the urine for ketones or by testing the blood (a blood gas) to see what the pH level is.

Once both the sugar levels are normalized and the acidosis has cleared, the patient can begin to transition back to their normal diet.

Have you known someone that’s had a diabetic emergency?

Resources for you:

1.   http://www.emergencycareforyou.org/EmergencyManual/WhatToDoInMedicalEmergency/Default.aspx?id=230
2.   http://type1diabetes.about.com/od/schooldaycareandlaws/a/hypergly_emerg.htm
3.   http://diabetes.webmd.com/tc/hypoglycemia-low-blood-sugar-topic-overview
Email ThisBlogThis!Share to XShare to FacebookShare to Pinterest
Posted in Diabetes | No comments
Newer Post Older Post Home

0 comments:

Post a Comment

Subscribe to: Post Comments (Atom)

Popular Posts

  • Dr. Richard Mabry: This Little Pill Went to Market
    Monday through Wednesday this week we're celebrating Dr. Mabry whose fourth novel is coming out this week. Leave a comment on any of his...
  • Concierge Medicine
    Personally, I didn't have a lot of strong feelings about concierge medicine until my personal physician decided to convert his practice ...
  • Up and Coming
    Hey everybody... how'd the week go? Mine... interesting. Glad it is Saturday!! Here's what we have this week at Redwood's Medica...
  • Sudden Death: The Widow Maker
    I'm so excited to have Dr. David Carnahan joining Redwood's as a guest blogger because for a while now I've been wanting to do a...
  • Personal Protective Equipment (PPE)
     Dianna Benson is back for her monthly post discussing the different types of personal protective equipment healthcare professionals wea...
  • Summer Safety
    Okay-- 4th of July is tomorrow and I JUST can't help myself. In real life, I am a pediatric ER nurse and summer always brings a unique s...
  • Soderlund Drug Store Museum
      Kathleen joins us again this Friday for an interesting piece on her trip to Soderlund Pharmacy Museum.   A Charming Historical and Visual...
  • Ten Myths of Drug Addiction 2/2
    Today, we're concluding Dr. Rita Hancock's guest post on the ten myths of drug addiction. Today, we're finishing the last five. ...
  • Epidurals: The Good, The Bad, and The Ugly
    I'm pleased to host anesthesiologist and suspense author, H.S. Clark, as he discusses his thoughts on epidurals. Very informative post....
  • Opium Abuse during the Civil War Era: 2/2
    Author Jocelyn Green returns with another installment in her series of posts on Civil War Medicine. Jocelyn was here last week discussing ...

Categories

  • #ILoveSuspense (1)
  • 1800 (1)
  • 1830 (1)
  • 1860 (5)
  • 1890 (4)
  • 1940's (1)
  • 1950's (4)
  • 1960's (2)
  • 19th century medicine (2)
  • A Heart Deceived (3)
  • A Thousand Sleepless Nights (1)
  • A Wedding Invitation (1)
  • ABC News (1)
  • Abdominal Aortic Aneurysm (1)
  • Abusive Head Trauma (2)
  • acetaminophen (1)
  • Addiction (4)
  • AJ Luck (1)
  • Algor Mortis (1)
  • Alice J. Wisler (1)
  • Alina Adams (1)
  • ALL (1)
  • allergic reaction (1)
  • Altered Mental Status (1)
  • Amanita Muscaria (1)
  • Amitha Knight (4)
  • Amnesia (1)
  • Amputation (4)
  • Amputee (4)
  • Amy Clipston (1)
  • anaphylaxis (1)
  • Andrew Wakefield (1)
  • Anesthesia (2)
  • Anesthesiologist (1)
  • Anesthesiology (2)
  • Anesthetist (1)
  • Animal Cruelty (1)
  • Anita Brooks (1)
  • Ankle Injury (3)
  • Ann Boleyn (3)
  • Ann Shorey (3)
  • Anna Bixby (1)
  • Antibiotics (1)
  • aorta (1)
  • aortic dissection (1)
  • Apnea (1)
  • Arrhythmia (2)
  • Arterial Bleeding (4)
  • Artery (1)
  • Asthma (2)
  • Asylums (2)
  • Atrial Septal Defect (1)
  • Author (1)
  • Author Beware (17)
  • Author Question (9)
  • AutoImmune Disease (3)
  • Autopsy (1)
  • Autumn (1)
  • Bacteria (1)
  • Barber-Surgeons (1)
  • basilar skull fracture (1)
  • Beating (1)
  • Bedwetting (1)
  • Benzodiazepines (1)
  • Bette Lamb (2)
  • Biological Passport (1)
  • Bleeding (4)
  • Blind (1)
  • blistering (1)
  • Blog Hop (1)
  • Blog Parade (1)
  • Blood Transfusion (1)
  • Blood Transfusions (1)
  • Blue Ringed Octopus (1)
  • Body Language (1)
  • bone marrow transplant (1)
  • Borrowed Time (1)
  • Botulism (1)
  • Bradycardia (1)
  • Brain (3)
  • Brain Death (4)
  • Brain Reserach (1)
  • Brain Surgery (1)
  • Brandilyn Collins (2)
  • Breaking Character Stereotypes (2)
  • Breast Cancer (1)
  • Broken Foot (1)
  • Bruising (2)
  • Bubonic Plague (1)
  • Burn Injuries (2)
  • Burns (3)
  • C-A-B (1)
  • C-section (1)
  • C.J. Lyons (2)
  • CAB (1)
  • Cancer (2)
  • Candace Calvert (3)
  • Canning (1)
  • cantharone (1)
  • car accident (5)
  • Cardiac Arrest (1)
  • cardiomyopathy (1)
  • Caregiving (2)
  • Carol Moncado (4)
  • Carrie Turansky (1)
  • Catherine Richmond (2)
  • Cerebral Edema (1)
  • Chain of Custody (1)
  • Chain of Evidence (1)
  • Character (1)
  • child (2)
  • Child Abuse (6)
  • childbirth (2)
  • Chloroform (3)
  • Christian Mama's Guide (3)
  • Christina Williams (1)
  • Christine Lewry (2)
  • chronic pain (2)
  • Civil War (10)
  • Civil War Medicine (10)
  • Closed Head Injury (1)
  • Code Simulation (1)
  • Collapsed Lung (1)
  • Comback Love (2)
  • Concentration (1)
  • Concierge Medicine (1)
  • Congestive Heart Failure (1)
  • Consciosness (1)
  • Consent (2)
  • Contest (3)
  • Contraception (1)
  • Conversion Disorder (1)
  • Coronavirus (1)
  • Coroner (9)
  • Corpse (2)
  • CPR Guidelines (2)
  • craniotomy (1)
  • Crush Injuries (1)
  • Crying (1)
  • Cryptococcus (1)
  • Cryptococcus gattii (2)
  • Cryptococcus neoformans (1)
  • CT scan (1)
  • CT Scanner (1)
  • Cure (1)
  • Cuts (1)
  • Cyanide (2)
  • D.P. Lyle (1)
  • Dale Eldon (6)
  • Dan Greene (1)
  • Dead Man's Hand (1)
  • Dean Koontz (1)
  • Death (1)
  • Debra Ullrick (1)
  • Decompression Illness (1)
  • Decontamination (1)
  • Dee J. Adams (1)
  • Defibrillation (1)
  • Dena Ratliff Dyer (1)
  • Destined Love is Immortal (1)
  • Dexter (2)
  • Diabetes (5)
  • Diagnosis (1)
  • Diagnosis Death (2)
  • Dianna Benson (17)
  • Diffuse Axonal Injury (1)
  • Disability (2)
  • Disaster Drills (1)
  • Dissociative Fugue (1)
  • DNA Testing (1)
  • DNR (1)
  • doctor (3)
  • Dog Bites (1)
  • Don't Look Back (1)
  • Doula (1)
  • Down Syndrome (1)
  • Dr. David Carnahan (3)
  • Dr. Edwards (6)
  • Dr. Mabry (3)
  • Dr. Richard Mabry (1)
  • Dr. Rita Hancock (1)
  • Dr. Tanya Goodwin (1)
  • Drowning (6)
  • drug (5)
  • drug abuse (5)
  • drug seekers (2)
  • drug test (1)
  • DV Berkom (1)
  • Eben Alexander (3)
  • ECG (1)
  • Eclampsia (1)
  • Ectopic Pregnancy (1)
  • ED Issues (1)
  • Eddie Jones (1)
  • EKG (1)
  • Elaine Clampitt (1)
  • Elaine Stock (2)
  • Elizabeth I (3)
  • Embryo (1)
  • Emergency Medicine (8)
  • Emergency Treatment (11)
  • EMS (18)
  • EMT (13)
  • EMTALA (2)
  • End of Life (1)
  • Endocarditis (1)
  • Entomology (1)
  • Epi-pen (1)
  • Epidural (1)
  • epinephrine (1)
  • ER (4)
  • ER Nursing (3)
  • Erin MacPherson (4)
  • Ether (2)
  • Exsanguination (4)
  • fainting (1)
  • Fall (1)
  • False Memories (1)
  • Family Practitioner (1)
  • Fatty Acid Oxidative Disorder (1)
  • FDA (1)
  • fellow (1)
  • Fever (1)
  • Firefighter (1)
  • Firesetting (1)
  • Firework injuries (1)
  • First Steps (1)
  • FlashPoint (1)
  • flight nursing (3)
  • Forensic Investigation (2)
  • Forensic Issues (4)
  • Fracture (3)
  • Fractures (4)
  • Fungii (2)
  • Fungus (4)
  • Garry Rodgers (4)
  • gene therapy (1)
  • Gideon's Call (2)
  • Grey's Anatomy (3)
  • Gunshot Wound (2)
  • Gunshot Wounds (1)
  • H.S. Clark (1)
  • H1N1 (1)
  • Hallucinations (2)
  • Hallucinogenic Drugs (2)
  • Hannibal (1)
  • Hannibal Lector (1)
  • HazMat (1)
  • Head Injury (1)
  • heart attack (2)
  • Heart Failure (1)
  • Heather Day Gilbert (1)
  • Heidi Cresion (1)
  • Heidi Creston (9)
  • HELLP (1)
  • hemorrhage (1)
  • Henry VIII (6)
  • Heroin (1)
  • Hidden Son (1)
  • HIPAA (7)
  • historical medicine (11)
  • HIV (2)
  • Home Deliveries (1)
  • Hospice (2)
  • hospital supplies. (1)
  • Hospitals (2)
  • Hypothermia (3)
  • ICU (2)
  • ICU Nurse (2)
  • ICU Nursing (1)
  • IICU (2)
  • Immunizations (7)
  • Implausible Killing Method (1)
  • Incubation Period (1)
  • Infant (3)
  • Infant Abduction (1)
  • Infant Delivery (1)
  • Infection (1)
  • Infertility (1)
  • Influenza (2)
  • Injuries (1)
  • Injury (1)
  • Insects (1)
  • intern (1)
  • Intracranial Hemorrhage (1)
  • IV Solutions (1)
  • J.A. Schneider (1)
  • James Patterson (2)
  • James Pence (2)
  • Jason Joyner (1)
  • JCAHO (1)
  • Jeannie Campbell (2)
  • Jillian Kent (1)
  • JJ Lamb (1)
  • JoAnn Spears (13)
  • Jocelyn Green (11)
  • Joe Navarro (1)
  • Jordyn Redwood (2)
  • Jude Urbanski (1)
  • Kara Hunt (1)
  • Kate O'Reilly (2)
  • Kathleen Rouser (5)
  • Kathy Kovach (1)
  • Ketamine (1)
  • Kill Alex Cross (2)
  • Kit (1)
  • Kristen Gasser (1)
  • Lacerations (2)
  • Lacy Williams (5)
  • Lance Armstrong (1)
  • Laudanum (1)
  • Laura McClellan (1)
  • Laurie Kingery (3)
  • Law (3)
  • Law Suit (1)
  • Lawsuit (1)
  • Lethal Remedy (1)
  • Level of Consciousness (1)
  • Life Expectancy (1)
  • Lifesaving Measure (1)
  • Lillian Duncan (1)
  • Lisa Forest (2)
  • Livor Mortis (1)
  • LOC (1)
  • Loss of License (1)
  • Lung (1)
  • Lung Cancer (1)
  • Lyme Disease (3)
  • Lyme Wars (2)
  • Lynette Eason (1)
  • Mads Mikkelsen (1)
  • Major organs (1)
  • Making IV solutions (1)
  • Malaria (1)
  • Male Nursing (1)
  • Maree Kimberley (1)
  • Mark Sloan (1)
  • Mark Young (2)
  • Marketing (1)
  • Marrying Miss Marshall (2)
  • Martha Ramirez (2)
  • Mary C. Neal (1)
  • Mary Mallon (1)
  • Mary Queen of Scots (2)
  • Mary Queen of Scots. (1)
  • Matt Patterson (2)
  • McDreamy (1)
  • Measles (1)
  • medical devices (1)
  • Medical Examiner (5)
  • Medical Inaccuracy (1)
  • Medical Malpractice (1)
  • Medical Myth (1)
  • Medical Power of Attorney (1)
  • Medical School (2)
  • Medical Thriller (2)
  • Medication dosing (1)
  • Medications (3)
  • Melissa K. Norris (1)
  • Memory (1)
  • meningitis (3)
  • Meredith Maran (1)
  • MERS-CoV (1)
  • Metabolic Disorders (2)
  • Michael King (2)
  • Micheal Rivers (1)
  • Michelle Griep (3)
  • Midwifery (2)
  • military medicine (1)
  • Milk Sickness (2)
  • Minor (3)
  • Minor organs (1)
  • Minor Trauma (1)
  • Minors (2)
  • Mock Codes (1)
  • Moore (1)
  • Morgue (1)
  • MRI scanner (1)
  • MVA (3)
  • MVC (4)
  • My Emily (2)
  • My Lie (1)
  • myocardial infarction (1)
  • Myth (3)
  • Myths (3)
  • Narcotics (1)
  • nasal cannula (1)
  • nasogastric tube (1)
  • NDE (4)
  • NDE's (4)
  • Near Death Experiences (4)
  • Neck Injury (3)
  • Necrotizing Fasciitis (1)
  • Needleless Systems (1)
  • Negligence (1)
  • Nelda Copas (2)
  • Neonatal ICU (1)
  • Neuroblastoma (1)
  • Neuroscience (4)
  • Neurosurgeon (4)
  • Neurotoxins (2)
  • Newborn (1)
  • NF (1)
  • NG tube (1)
  • NICU (5)
  • Nike Chillemi (1)
  • No Witnesses To Nothing (2)
  • nomogram (1)
  • Nose Injury (1)
  • NSAIDS (1)
  • nurse (8)
  • Nurse Practitioner (2)
  • Nursemaid's Elbow (1)
  • nursing (9)
  • OB (8)
  • Obstetrician (8)
  • Obstetrics (12)
  • occult (1)
  • Occupational Therapy (1)
  • OCI (1)
  • Off the Grid (2)
  • Office of Criminal Investigations (1)
  • Oklahoma (1)
  • Old Wives Tales (1)
  • Omni (1)
  • Once Upon a Time (1)
  • operating room (1)
  • Opium (3)
  • OR (2)
  • Orderly (1)
  • Organ Donation (1)
  • Organs (1)
  • Overdose (1)
  • Pain (2)
  • Palor Mortis (1)
  • Panic Attack (2)
  • Paralyzed (1)
  • Paramedic (1)
  • paranormal (1)
  • Patent Medicines (1)
  • Pathogens (6)
  • Pathologist (2)
  • Patient Privacy (1)
  • Paul McEuen (1)
  • Paula Moldenhauer (1)
  • Paying Medical Bills (1)
  • Pediatric ER (1)
  • Pediatric Medicine (5)
  • Pediatric Nursing (2)
  • Perinatologist (1)
  • Personal Protective Equipment (1)
  • Perspective (1)
  • Peter Golden (2)
  • Peter Leavell (3)
  • Phantom Limb Pain (2)
  • Pharmacy (6)
  • Physical Assault (1)
  • Physician's Assistant (2)
  • PICU (1)
  • PIH (1)
  • Plants (4)
  • Plaster Casts (1)
  • Pneumonia (1)
  • Pneumothorax (1)
  • Poison (6)
  • Poisoning (3)
  • Police (4)
  • Police Response (2)
  • Polio (3)
  • Pools (1)
  • Post Mortem (1)
  • Post-mortem injuries (1)
  • Post-partum bleeding (1)
  • PPE (1)
  • Preeclampsia (1)
  • Pregnancy (10)
  • Prematurity (2)
  • Preparation (1)
  • prescription drug abuse (5)
  • Prescription Drugs (3)
  • Prescription for Trouble (2)
  • Prion (1)
  • Prisoner (1)
  • Prolapse Cord (1)
  • Proof (2)
  • Prosthetic (1)
  • Psychology (1)
  • Psychopathy (1)
  • Puncture (1)
  • Putrefaction (1)
  • Pyxis machines (1)
  • Quadriplegic (1)
  • Queen Ann (4)
  • Rabies (1)
  • Rachelle Gardner (1)
  • Radiation (2)
  • Radiation Exposure (2)
  • Ramona Richards (2)
  • rape kit (1)
  • Rape Kit (2)
  • Reader's Digest (1)
  • Reanimation (1)
  • Refusal of Treatment (1)
  • Rehab (1)
  • Religious Objection (1)
  • Renee Yancy (1)
  • Repressed Memories (1)
  • Rescue Team (1)
  • resident (1)
  • Resources (1)
  • Respiratory (1)
  • Retinal Hemorrhages (1)
  • Richard Mabry (1)
  • Rigor Mortis (1)
  • Rita Hancock (1)
  • Rob Harris (2)
  • Robert P. Bennett (2)
  • Rodents (1)
  • Rule of Nines (1)
  • SAE (1)
  • SAE kit (1)
  • Salmonilla Typhi (1)
  • SANE nurse (1)
  • Sarah Sundin (14)
  • Scalp Laceration (1)
  • Scoliosis (1)
  • Scope of Practice (2)
  • Scopolamine (1)
  • scrubs (1)
  • Scuba Diving (1)
  • Seasonal Illness (1)
  • Secret Thoughts (1)
  • Sepsis (1)
  • Serial Killers (3)
  • Sexual Assault (2)
  • Shaken Baby Syndrome (3)
  • Sheila Hollinghead (1)
  • Sherri Wilson Johnson (1)
  • Shock (1)
  • Shock Treatment (1)
  • Sisters in Silence (1)
  • Smoking (1)
  • Snakeroot (1)
  • Soderlund Drug Store Museum (1)
  • Spanish Flu (1)
  • Specialty (1)
  • Speech Therapy (1)
  • Spina Bifida (1)
  • Spinal Cord Injury (1)
  • Spinning (1)
  • Spiral (1)
  • Spores (1)
  • Sprain (2)
  • Spring for Susannah (1)
  • Stacey Thureen (1)
  • Stitches (1)
  • Strangulation (3)
  • Stress Test (1)
  • Subdural Hematoma (1)
  • Submerged Vehicle (3)
  • Suffering (1)
  • Suicide (1)
  • Superstitions (1)
  • Supracondylar Fracture (1)
  • Surgery (1)
  • Surrendered Hearts (1)
  • Survival (1)
  • Suspense (1)
  • SVT (2)
  • Sweating Sickness (4)
  • Synchronized Cardioversion (1)
  • syncope (1)
  • Tanya Cunningham (1)
  • Tanya Goodwin (4)
  • Terri Forehand (3)
  • Tessa Stockton (1)
  • The Black Death (1)
  • The Bone Pit (1)
  • The Character Therapist (2)
  • The Doctor Takes a Wife (3)
  • The Eden Diet (1)
  • The HIdden Son (1)
  • The Writer's Forensic Blog (1)
  • Thimerisol (1)
  • Thin Wire (2)
  • thoracic dissection (1)
  • Through Rushing Water (1)
  • Thyroid Disease (1)
  • Tim Casey (1)
  • Time of Death (1)
  • Titanic (1)
  • To Heaven and Back (1)
  • Tornado (1)
  • Torture (1)
  • Toxicology (4)
  • Toxin (1)
  • Training (1)
  • Transfer (2)
  • Transmission (1)
  • Trauma Plan (2)
  • Traumatic Brain Injuries (13)
  • Traumatic Brain Injury (14)
  • Treatment of Poisoning (1)
  • trepanning (1)
  • trephining (2)
  • Triage (1)
  • Truth Serum (1)
  • TTX (1)
  • Tudor England (2)
  • Typhoid Mary (1)
  • Unforgivable (1)
  • Uterine Anatomy (1)
  • Uterus (1)
  • V-fib (1)
  • V-tach (1)
  • Vasovagal reaction (1)
  • VBAC (1)
  • Vein (1)
  • Venous Bleeding (3)
  • Virulence (2)
  • Virus (2)
  • VP shunt (1)
  • Water Safety (1)
  • Wedded to War (5)
  • western medicine (4)
  • When a Secret Kills (1)
  • Widow Maker (1)
  • Widow of Gettysburg (1)
  • Wildfire (1)
  • Wish (1)
  • With Every Letter (3)
  • Wolf Spider (1)
  • Woodpecker (1)
  • WordServe Water Cooler (1)
  • World Life Expectancy (1)
  • Wound (1)
  • Writer's Wish List (1)
  • Writing (1)
  • WWII (6)
  • X-rays (1)
  • Yellow Fever (1)
  • Zombies (6)

Blog Archive

  • ►  2013 (138)
    • ►  September (6)
    • ►  August (12)
    • ►  July (17)
    • ►  June (17)
    • ►  May (17)
    • ►  April (17)
    • ►  March (18)
    • ►  February (16)
    • ►  January (18)
  • ►  2012 (217)
    • ►  December (19)
    • ►  November (18)
    • ►  October (18)
    • ►  September (17)
    • ►  August (19)
    • ►  July (17)
    • ►  June (20)
    • ►  May (17)
    • ►  April (18)
    • ►  March (19)
    • ►  February (18)
    • ►  January (17)
  • ▼  2011 (145)
    • ►  December (16)
    • ►  November (18)
    • ►  October (19)
    • ►  September (13)
    • ►  August (17)
    • ▼  July (15)
      • Marketing and Social Media
      • Guest Blogger: Lillian Duncan
      • Diabetes: Part 2/2
      • Winner!!
      • Diabetes: Part 1/2
      • Western Medicine Circa 1890: Part 4/4
      • HELLP!: Pregnancy Complications/Heidi Creston
      • Medical Question: Opposite Fight vs. Flight Response.
      • Western Medicine Circa 1890: Part 3/4
      • Medical Question: Submerged Vehicle Part 2/2
      • Medical Question: Submerged Vehicle Part 1/2
      • Western Medicine Circa 1890: Part 2/4
      • Welcome Dr. Frank Edwards!
      • Firework Injuries
      • Western Medicine Circa 1890: Part 1/4
    • ►  June (15)
    • ►  May (13)
    • ►  April (14)
    • ►  March (5)
Powered by Blogger.

About Me

Unknown
View my complete profile