Critical Actions Flashcards
Simple Febrile Seizure
Detailed H/P
Rule out things like MEningititis
Tylenol/ibuprofen
counsel parents and secure follow up
Cocaine Chest Pain
EKG
O2
BEnzos
Nitrates
Trop
CXR
Obs admit
Iron OD
Large bore IV access
EKG
WBI
Deforxamine
ASA/Tylenol levels
Pyloric stenosis
IV access and adequate rehydration
abd exam
NGT
NPO
Abd US
ICH
Airway
LArge bore access and fluids
Serum glucose level
LAbs, coags
heat ct
reverse anticoagualtion
NSGY and ICU consult
TENSION PTX
needle thoracostomy
tube thoracostmy
upright CXR
pain
diligent search for other injuries
surgical consult
Acute Chole
IV
RUQ US
Pain
Surgery
Abx
Sepsis
IV or IO
Multiple fluid bolus
early abx
ICU conuslt
Boerhaave sundrome
Crepitus on exam
esophogeal tear on ddx
CXR to evaluate lungs/mediastinum
emergent GI,ENT,CT surgery consultastions
fluids
abx
Epidural abscess
On DDX
rectal temp!
obtain stat imaging
NSGY conuslt
Determine the cause! From UTI
Nec Fasc
Early recognition
IVF
ABx
surgical consult
do nto delay definitive management- surgery
HyperK
EKG
DDX
Calcium gluconate
Insulin, dextrose, albuterol, kayelcoate, lasix, bicarb drip, stat lytes,
Glaucoma
VA, EOM, IOP, Pupils,
SLIT LAMP!
optho consult
early meds:
Brimodidnie
timolol
mannitol
pilocarpine
steroids
Acetazolamide
incarcerated hernia
DDX
IV
CXR upright
Obstuctive series
NGT
Pain
Surgery
ASA OD
IV
Preggo test
Hx of ASA use
Soidum Bicarb
Repeat ASA levels
ICU admission
HSP
Fluids
Abd X ray
Pain
Labs for kidney and liver
surgery consult
Snake Bite
ABCs
Assess wound
ID the snake fir venom exposure
Labs for snake bit enmovation CBC, CMP, Coags, Fibrinogen, Dimer, Type and Cross
CRVO
Ocular exam
Optho consult
Other: DC with follow up, CT head, still get labs
Torsades in a kid
EKG and Dx
Dx torsades
PALS
cards consult, ICU consult
—- Family, lidocaine drip, EPi, Mag, defibrillate mutl times
RPO
Prepare for intubation
Abx
Soft tissue neck x ray
ENT ocnuslt
ICU admission
SCFE
phys exam bilaterally
ortho
bilat x rays w/ lateral!
pain meds- ibuprofen
3 year old test torsion
test exam
immediate urolgoy/ped surg consult
US doppler
pain- morphine
menaul deotrsion attempt )procedural sedation, elevate, 540 medial to lateral)
OR
NPO
Gastric Perf
IV access
upright cxr
pain
surgery
pertussis kid
O2
IVF if tachy
CXR
Abx
Admit resp isolatio
AAA
IVF and access
bedside US!!!! (CT will be down)
surgery consult
Blood trasfusion (call BB to make sure MTF is ready)
Grey turner sign- gflank ecchymosis signs of retroperitoenal hematoma
CO Posioning
100% NRB
Glucow
HX
COHb elvel
Transfer for hyperbaircs
LeFort 2 Fx
Early advanceed airway - Awake intubation, cric at thebedside
hemorrhage control - stop epistaxis!
C spine immobilization
CT head, face, c spine
CXR for aspirated teeth
assess for csf rhinorrhea
Epistaxis, direct compression first
Circumfenertial burn
Large bore IV access
Pain
Tube
Escharotomy
tdap
burn unit transfer
CO level
Tdap
Intubate for sedation
parkland forumla!
varicela bleed
IVF
Hemodynamic monitring
Platelt/FFP ransfusion
Abx
ICU
GI consult
Bradycardia
EKG
O2
Atropine .5 up to 3 mg
pace - tracsQ to tansV
Status Ashtmaticus
Pulse ox
cardiac monitoring
O2
Duonebs, steroids
frequent reassessment
Mag, Epi, terbutaline
Bipap
Admit to ICU
SJS
Hx of abx usage
skin exam
DDX
stop the offending agent
Derm and OPTHO consult
ICU admit
GBS
FSG
Neuro exam
GBS Dx
Neuro consult
intubate- decom from NIF
ICU admit
Plasma exacnhe
LP too
SBO
IVF
Upriught CXR obsutricve series
pain
surgery
NGT
