Episodes (Page 9)
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Bowel perforations can have subtle symptoms in certain populations.
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Mesenteric ischemia involves blocked blood flow to the bowel.
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Biliary colic is pain from a transiently passing gallstone.
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Appendicitis pain often starts vague and localizes to RLQ.
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Patient presentation includes demographics, descriptors, and red flags.
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Gather demographics, chief complaint, and pain descriptors.
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Update attending on IV difficulties and blood draws.
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Review old records for similar complaints or hospitalizations.
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Recheck heart and respiratory rates; note them in your presentation.
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Use four descriptors for each complaint: location, quality, duration, severity.
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Make patients remember your name through clear introductions and repetition.
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Introduce yourself clearly to everyone, regardless of their role.
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Verbalize the plan before rapid sequence intubation.
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Preoxygenate the patient thoroughly before attempting RSI.
Rapid Sequence Intubation
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Use pharyngeal airways to bypass the tongue for BVM ventilation.
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Recognize mucormycosis: black discharge, facial swelling, eschar.
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Perform medical clearance and psychiatric risk assessment for psychiatric complaints.
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In women of childbearing age, always consider A-B-C-P (Airway, Breathing, Circulation, Pregnancy Test).
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For stroke, check blood glucose and CT head without contrast.
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Differentiate PE types: massive (hypotension), submassive (RV strain), low risk.