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