The triple 15 rule of pre-oxygenation:
To help optimize oxygenation, the triple 15 rule can be used prior to endotracheal intubation:
1. 15L O2 via nasal prongs
2. 15L O2 via non-rebreather
3. 15 cm H2O of CPAP if SO2 still < 95%
Younger children and those with multiple AOM that year had higher risk for developing Otitis media associated with the conjunctivitis. Up to 25% of patients with conjunctivitis have concurrent otitis media (even in the abscence of ear pain) and up to 73% of patients with purulent conjunctivitis. Non-typeable H. influenzae is the most common recovered bacteria. For these patients, systemic (oral) antibiotics are recommended and the topical ophthalmic antibiotics are NOT necessary. Antibiotics should cover beta-lactamase producing organisms, e.g. high dose amoxicillin-clavulanic acid (45 mg/kg BID).
Every patient with conjunctivitis should have an examination of his/her tympanic membraness, as your management may change.
Scintillating scotoma, also called visual migraine, is the most common visual aura preceding migraine. It may precede a migraine headache, but it can also occur acephalgically (without headache).
Migraine with aura (also called classic migraine) is a headache that strikes after or along with sensory disturbances called aura. These disturbances can include flashes of light, blind spots and other vision changes or tingling in your hand or face.