Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Airway and breathing threats
High aspiration risk state
Depressed mental status
Active vomiting
Inability to protect airway
Oxygenation failure
SpO2 < 90% on room air
PaO2 < 60 mmHg
Ventilation failure
Rising PaCO2
Respiratory fatigue
If unable to protect airway, proceed to definitive airway control
Class I recommendation
Rapid sequence intubation preparation
Circulation and sepsis threats
Shock physiology
SBP < 90 mmHg
MAP < 65 mmHg
Sepsis screening
Suspected infection with organ dysfunction
Lactate >= 2 mmol/l
If septic shock, broad spectrum antibiotics within 1 hour
Class I recommendation
Source control planning
Key early branching
Aspiration pneumonitis pattern
Witnessed large volume aspiration
Hyperacute hypoxemia within hours
Aspiration pneumonia pattern
Fever and leukocytosis after aspiration risk exposure
Symptoms evolving over 24 to 72 hours
If uncertain, treat as pneumonia when systemic infection features present
ACEP Level C recommendation
Reassess at 24 to 48 hours
Monitoring and targets
Monitoring bundle
Continuous pulse oximetry
SpO2 target 92% to 96%
COPD risk target 88% to 92%
Cardiac monitor
Tachyarrhythmia trigger evaluation
Bradyarrhythmia trigger evaluation
Frequent reassessment cadence
Work of breathing trend
Mental status trend
Escalation triggers
Rapidly rising oxygen requirement
HFNC consideration
NIV avoidance when vomiting risk
Persistent hypotension after fluids
Norepinephrine initiation
ICU level care
Worsening acidosis or hypercapnia
Early intubation planning
Ventilation strategy review
Immediate consults
Consultation triggers
Airway compromise
Anesthesia or critical care
RT at bedside
Complicated infection
Empyema concern
Lung abscess concern
High consequence comorbidity
Immunocompromised host
Advanced neuromuscular disease
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.