Red Eye

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Red Eye

Key Points Print Section Listen Always begin with visual acuity, the vital sign of the eye. The patient should be instructed to remove contact lens and not to put them…

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Head Injuries

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Head Injuries

Key Points Print Section Listen Traumatic brain injury can be classified by severity into mild (Glasgow Coma Scale [GCS] ≥14), moderate (GCS 9–13), and severe (GCS ≤ 8) categories. An…

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Cerebrovascular Accident

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Cerebrovascular Accident

Key Points Print Section Listen Time is brain. Time of symptom onset is key to acute stroke treatment. Hypoglycemia and hypoxia can mimic stroke. Assess and treat these conditions early…

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Trauma Principles

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Trauma Principles

Key Points Print Section Listen Assess all trauma patients with a rapid primary survey followed by a more comprehensive secondary evaluation. Address all emergent life threats in a stepwise manner…

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Epistaxis

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Epistaxis

Key Points Print Section Listen Anterior epistaxis is more common than posterior epistaxis. Anterior epistaxis generally stops with pressure, but may require nasal packing. Posterior epistaxis requires emergent ear, nose,…

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Headache

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Headache

Key Points Print Section Listen Consider emergent causes of headache first. Have a low threshold to perform a computed tomography (CT) scan on patients with a possible emergent cause for…

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Slit Lamp Examination

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Slit Lamp Examination

Key Points Print Section Listen Familiarity with the controls is critical to performing a slit lamp examination. When positioning the patient for the exam, make sure that their forehead is…

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Envenomation

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Envenomation

Key Points Print Section Listen In addition to any focused or antidotal therapy available, aggressive symptom-based supportive care is important for all envenomations. Knowledge of local venomous species may be…

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Altered Mental Status

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Altered Mental Status

Key Points Print Section Listen Do not delay bedside glucose determination, administration of glucose, and naloxone, if indicated. These interventions may prevent the need for endotracheal intubation. Talk to the…

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Thyroid Emergencies

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Thyroid Emergencies

Key Points Print Section Listen In a critically ill patient with a goiter or history of hyperthyroidism, consider and treat thyroid storm early. Thyroid storm and myxedema coma are clinical…

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