Physical Exam Key Points

1. Vital signs. Core temperature, BP, and volume status should be continuously monitored. Look for shivering as a mechanism of heat production. Hypothermic patients may be vasocon-stricted peripherally and have distal pulses that are difficult to palpate. Severely hypothermic patients will have paradoxical vasodilation and cutaneous erythema.

2. Neurologic exam. Check mental status and perform a complete neurologic exam if patient is not comatose. Assign a modified Glasgow Coma Scale score (see Appendix F, p. 765). Observe for signs of increased intracranial pressure.

3. Secondary survey. Observe for signs of trauma or continuing blood loss. Hemostasis and volume resuscitation may be necessary before correction of hypothermia can succeed.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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