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--- resident:nightfloat [2020/10/16 13:43] – jonathan
+++ resident:nightfloat [2021/02/24 21:15] (current) – jonathan
@@ Line 6: / Line 6: @@
 Arterial: There will be a doppler box in the room and you need to look for the marked stitch. \\
 Venous: There is a box in the room called the venous coupler. Please make sure it sounds like a sea shell up to your ear and that it modulates when the patient takes a breath.\\
+Of note, a cook doppler and venous coupler cannot be on at the same time.\\
 Oxygenation: If there isn't a venous coupler, the patient should have a machine called vioptix. This is basically a pulse-ox. Report the oxygenation percentage and the signal strength. Flaps are in trouble if there is a sudden drop.\\
 Color: Is the flap pink, pale or blue?\\
@@ Line 20: / Line 21: @@
 Dressing changes should always have silk or medpore tape ready.\\
 Common dressing changes include xeroform, bacitracin (have to order), kerlix, ABD pads, ACE.\\
+\\
+Example of Venous Congestion. Left side is purplish. Note this can be more subtle to see in dark skinned individuals. This is an emergency.\\
+{{:resident:venous_congestion.jpg?400|}}