Emergency Tips

Necrotizing fasciitis should be considered in any patient with a soft-tissue infection who has pain and tenderness out of proportion to the visible degree of cellulitis

Culture and antibiotics are not indicated in non-immunocompromised patients with a cutaneous abscess

Early goal-directed therapy in patients with severe sepsis reduces short-term mortality by 10% to 20% compared with an unstructured treatment regimen

Consider testicular torsion in any male with lower abdominal pain.  

Helical CT is the radiologic modality of choice for diagnosing ureteral calculus

Abdominal aortic aneurysm (AAA) can mimic renal colic

A CT scan for appendicitis is “negative” only if the entire appendix has been visualized and is normal

Analyzing a mass gathering will allow informed decisions about the needed levels of staffing and equipment necessary to provide on-site care

A suicide attempt should be considered in patients with illogical explanations for serious accidents

Hypotensive, tachycardic patients with penetrating chest trauma should be immediately evaluated for tension pneumothorax and pericardial tamponade because emergent treatment can be life-saving

Consider a computed tomography angiography (CTA) of the neck in patients with facial or cervical spine fractures

Secure the airway early in the management of patients with significant soft-tissue neck injuries

Sodium bicarbonate (1–2 mEq/kg) should be considered for all poisoned patients with ventricular dysrhythmias or a wide QRS

The most important action to take in the event of an attack of weapons of mass destruction is simply self-protection by donning appropriate personal protective equipment

Dermal exposure or ingestion of hydrofluoric acid can result in profound hypocalcemia, hypomagnesemia, and hyperkalemia

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