- 7-05
- cool heat stroke as fast as possible. mist and fan technique probably easiest to get together quickly, also can use cool guard
- if nurse asks if there is anything else you want to do on oral boards, there is.
- be agressive on oral board cases, do everything now
- disciplined exam is critical on oral board cases
- pres syndrome tx= calcium channel blockers
- preecclampsia can test with urine protein/ urine cr ratio, serum uric acid
- air in ventricles from epidural anesthesia can cause headache. tx with 100%oxygen
- blood patch very effective for post lp or post epidural headache
- Systematic cxr eval A=air and airway, B=breathing aka lungs and bones, C=cardiac and mediastinum, D=devices, diaphragms, and data, E=external to rib cage
- mediastinal hematoma caused by rupture of smaller vessels like azygos
- wide mediastinum is >8cm on PA chest
- Overall incidence of SBI in kids is @10%, meningitis is 1%.
- Incidence in well appearing kids is @7%.
- SBI includes pneumonia, uti, bone/joint infection, meningitis, cellulitis, bacterial enteritis
- Cautious simple approach to fever in kids: up to 8 weeks of age do a full septic workup, give ceftriaxone and decide dispo with pediatrician
- 3-36 months get urine in girls up to 24 months, uncircumcised boys up to 12 months, circumcised boys up to 6 months
- RSV in kids less than 60 days old the risk of SBI is 7% and risk of meningitis is close to 0. Consider getting urine and blood cultures in these kids.
- Vaccination up to date in the 3-36 month kid lowers risk of SBI
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