Emergency Tips

Consider Kawasaki’s disease in children presenting with 5 days of fever

In patients with a high suspicion for bacterial meningitis, administer antibiotics promptly before the lumber puncture is performed and after blood cultures are obtained

Documenting adherence to evidence-based guidelines is helpful in defending against a malpractice claim.

When a mandible fracture is suspected, a panoramic radiograph of the mandible is the least expensive and most accurate film to assess the patient.

Perilimbic flush suggests iritis or glaucoma, not conjunctivitis

An afferent pupillary defect points to a defect of the retina or optic nerve

Spinal epidural abscess should be suspected as the cause of back pain in immunocompromised patients and IV drug users who present with localized spinal tenderness and fever

The diagnosis of gastroenteritis cannot be made without the presence of both vomiting and diarrhea.

A foreign body in the airway should be suspected in a child with sudden onset of respiratory symptoms and lack of response to appropriate treatment.

In febrile patients, a white blood cell or band count is rarely useful in differentiating between bacterial and viral illnesses.

Consider HIV/AIDS in patients at risk who present with an illness or infection, particularly those with opportunistic infections or extreme presentations of common diseases.

Consider HIV/AIDS in patients at risk who present with an illness or infection, particularly those with opportunistic infections or extreme presentations of common diseases.

When in doubt, remember that a p value less than 0.05 is generally considered significant, the difference found by chance alone being 1 in 20.

When evaluating results of a research paper, the smaller the number needed to treat, the more effective the intervention or treatment

Preoxygenation is a critical component of rapid sequence intubation because it will prevent significant hypoxia despite several minutes of apnea during the intubation process.

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