Priority Topics and Key Features

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Suspect and promptly treat reversible causes of arrhythmias (e.g., hyperkalemia, digoxin toxicity, cocaine intoxication) before confirmation of the diagnosis.
Clinical Reasoning Skills, Selectivity
Hypothesis generation, Treatment
Ensure adequate ventilation (i.e., with a bag valve mask), and secure the airway in a timely manner.
Clinical Reasoning Skills, Selectivity
Treatment
In patients requiring resuscitation, assess their circumstances (e.g., asystole, long code times, poor pre-code prognosis, living wills) to help you decide when to stop. (Avoid inappropriate resuscitation.)
Clinical Reasoning Skills
Diagnosis, Treatment
In patients with serious medical problems or end-stage disease, discuss code status and end-of-life decisions (e.g., resuscitation, feeding tubes, levels of treatment), and readdress these issues periodically.
Patient Centered Approach
Treatment, Follow-up
Attend to family members (e.g., with counselling, presence in the code room) during and after resuscitating a patient.
Professionalism, Communication Skills
Treatment
In a pediatric resuscitation, use appropriate resources ( e.g., Braeslow tape, the patient’s weight) to determine the correct drug doses and tube sizes.
Clinical Reasoning Skills
Treatment
Note: Shock is not dealt with in this topic.
Note
In all patients, always inquire about any allergy and clearly document it in the chart. Re-evaluate this periodically.
Clinical Reasoning Skills
History, Follow-up
Clarify the manifestations of a reaction in order to try to diagnose a true allergic reaction (e.g., do not misdiagnose viral rashes as antibiotic allergy, or medication intolerance as true allergy).
Clinical Reasoning Skills
History, Diagnosis
In a patient reporting allergy (e.g., to food, to medications, environmental), ensure that the patient has the appropriate medication to control symptoms (e.g., antihistamines, bronchodilators, steroids, an EpiPen).
Clinical Reasoning Skills
Treatment
To generate individual key feature specific field notes, click on the theme link for the desired key feature. To generate field notes for all key features resulting from your search, click on the button at the bottom of the search page.

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