Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
High risk lightning presentation
Immediate collapse
Transient respiratory arrest with secondary hypoxic cardiac arrest
Ventricular fibrillation or asystole
Reverse triage for multiple victims
Apneic or pulseless patients prioritized first
Prolonged resuscitation reasonable with lightning
Trauma plus medical dual pathway
Concomitant blunt trauma from blast or fall
Concomitant burns and dysrhythmia risk
Airway and breathing
Intubation triggers
Persistent apnea
Refractory hypoxemia
GCS 8 or less
Severe agitation interfering with care
Ventilation targets
SpO2 94 to 98 percent
End tidal CO2 35 to 45 mmHg
Cervical spine precautions
High energy mechanism
Altered mental status
Circulation and rhythm
Immediate monitoring
Continuous ECG monitoring
Defibrillator pads in place for unstable presentation
Shock evaluation
Hemorrhagic shock from trauma
Neurogenic shock from spinal cord injury
Cardiogenic shock from dysrhythmia or myocardial dysfunction
Vascular access
Two large bore IV lines
Intraosseous access if no IV within 90 seconds
Temperature and environment
Hypothermia risk
Wet clothing removal
Active rewarming for core temperature under 35 C
Hyperthermia risk
Active cooling for temperature 40 C or higher
Key decision points
Need for resuscitation bay
Cardiac arrest or peri arrest
Any rhythm instability
Any hypotension with altered mental status
Severe neurologic deficit
Focal deficit
Seizure
Persistent altered mental status
Significant burns
TBSA 10 percent or higher
Full thickness burn concern
Circumferential extremity burn
Observation versus admission
Telemetry need
Abnormal ECG
Chest pain
Syncope
Cardiac arrest
Significant burn
Significant rhabdomyolysis risk
Trauma imaging pathway
High risk fall
Head strike with symptoms
Spine pain or neurologic deficit
PITFALLS
Common misses
Tympanic membrane rupture
Otalgia
Hearing loss
Delayed cataract and retinal injury
Visual changes after discharge
Rhabdomyolysis without large burns
Dark urine
Muscle pain
Keraunoparalysis misread as spinal cord injury
Transient weakness and sensory loss
Cool pulseless appearing limb with recovery over hours
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.