Emedinews:Makesure: A patient died after receiving 30 ml IV KCL bolus.

Situation: A patient died after receiving 30 ml IV KCL bolus.
Reaction: Oh my God! Why was KCL given as bolus?
Lesson: Make sure that IV KCL is not given at a rate more than 10 mEq per hour.

Emedinews :Makesure: A patient who had multiple blunt trauma on his abdomen is admitted for management.

Situation: A patient who had multiple blunt trauma on his abdomen is admitted for management.
Reaction: Oh my God! Why did you not do a peritoneal lavage?
Lesson: Make sure to perform a peritoneal lavage in patients of multiple blunt trauma to exclude peritoneal haemorrhage from ruptured abdominal organs as the peritoneal reaction is often mild and a thorough clinical examination is not possible.

Emedinews:Makesure: A patient with fever developed melena.

Situation: A patient with fever developed melena.
Reaction: Oh my God! why was platelet count not done?
Lesson: Make sure in all patients with fever platelet counts are done.

Emedinews:Makesure: A 28–year–old male presents with increased frequency and occasional blood in urine. Urine examination shows sterile pyuria.

Situation: A 28–year–old male presents with increased frequency and occasional blood in urine. Urine examination shows sterile pyuria.
Reaction: Oh my God! Why didn’t you check for TB?
Lesson: Make Sure to rule out TB in patients with frequency, dysuria, hematuria. A sterile pyuria is the first clue to diagnosis.

Emedinews:Makesure: A patient with angina and abnormal endothelial functions was put on atenolol.

Situation: A patient with angina and abnormal endothelial functions was put on atenolol.
Reaction: Oh my God! Why you did not consider nebivolol?
Lesson: Make sure that nebivolol is used as the beta blocker of choice in patients with proven endothelial dysfunction (Kardiologiia 2004;44(2):15–18).

Emedinews:Makesure:A patient of suspected MI died after receiving sublingual nitrate.

Situation: A patient of suspected MI died after receiving sublingual nitrate.
Reaction: Oh my God! Why was a history of intake of Viagra drug was not taken?
Lesson: Make sure to take a history of Viagra drug intake before giving nitrates, because the two drugs when co-administered can cause fatal fall in blood pressure.

Emedinews: Makesure:A 40-year-old male developed acute heart attack after playing squash.

Situation: A 40-year-old male developed acute heart attack after playing squash.
Reaction: Oh my God! Why was a cardiac test not done?
Lesson: Make sure that anybody taking up anaerobic games after the age of 40 should first get a cardiac clearance.

Emedinews:Makesure: A patient with fever and cough develops complications after he was given antibiotics.

Situation: A patient with fever and cough develops complications after he was given antibiotics.
Reaction: Oh my God! What was the need of giving the antibiotics?
Lesson: Make sure that a patient with fever and cough is not given antibiotics as presence of cough mostly signifies viral infection.

Emedinews: Makesure: A patient with fever and cough developed complications after he was given antibiotics.

Situation: A patient with fever and cough developed complications after he was given antibiotics.
Reaction: Oh my God! What was the need of giving the antibiotics?
Lesson: Make sure that a patient with fever and cough is not given antibiotics as presence of cough mostly signifies viral infection.

Emedinews: Makesure: A patient with dengue fever developed shock.

Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/70 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.

Emedinews:Makesure: A neonate in an ICU being administered IV calcium exhibits signs of inflammation and necrosis at injection site.

Situation: A neonate in an ICU being administered IV calcium exhibits signs of inflammation and necrosis at injection site.
Reaction: Oh my God! Why didn’t you observe the IV site carefully. 
Lasson: Make Sure that all hypocalcemic neonates are put on a cardiac monitor while receiving calcium infusions and the IV site is closely observed, because extravasation of calcium can produce severe interstitial necrosis.

Emedinews:Makesure: A 28–year–old male presents with increased frequency and occasional blood in urine.

Situation: A 28–year–old male presents with increased frequency and occasional blood in urine. Urine examination shows sterile pyuria.
Reaction: Oh my God! Why didn’t you check for TB?
Lesson: Make Sure to rule out TB in patients with frequency, dysuria, hematuria. A sterile pyuria is the first clue to diagnosis.

Emedinews: A patient with prosthetic heart valves (bioprosthetic) developed infective endocarditis.

Situation: A patient with prosthetic heart valves (bioprosthetic) developed infective endocarditis.
Reaction: Oh my God! Why was he not given infective endocarditis prophylaxis?
Lasson: Make sure that all patients with prosthetic heart valves (bioprosthetic or homograft) are given infective endocarditis prophylaxis.

Emedinews:Makesure: A 62–year–old–diabetic with coronary artery disease, on treatment for the same, comes for follow up.

Situation: A 62–year–old–diabetic with coronary artery disease, on treatment for the same, comes for follow up.
Reaction: Oh my God! Why did not you put him on antioxidants?
Lesson: Make Sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects.

Emedinews:Makesure:A patient with acute heart attack died on the way to the hospital.

Situation: A patient with acute heart attack died on the way to the hospital.
Reaction: Oh my God! Why was the patient not accompanied by the doctor?
Lesson: Make sure that all heart attack patients are accompanied by the doctor to the hospital so that chest compression CPR can be given, if the heart stops, on the way.

Emedinews: Makesure: A patient with suspected heart attack with blood pressure of 40 mm Hg with warm peripheries died.

Situation: A patient with suspected heart attack with blood pressure of 40 mm Hg with warm peripheries died.
Reaction: Oh my God! Why was a diagnosis of anaphylaxis not considered?
Lesson: Make sure all patients with warm shock are managed on the lines of sepsis or anaphylaxis. Heart attack will have cold shock.

Emedinews:Makesure: A foreigner with a single loose stool developed sepsis.

Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time.
Lesson: Make sure that all foreigners are diagnosed to be suffering from Travelers diarrhea even if there is one single loose motion.

Emedinews: Makesure: Situation: A 70-year-old male with antibiotic-associated diarrhea and TLC of 24000 died.

Situation: A 70-year-old male with antibiotic-associated diarrhea and TLC of 24000 died.
Reaction: Oh my God! Why was surgery not considered in this case?
Lesson: Make sure that urgent surgical evaluation is done in patients with acute gastroenteritis who are ≥65 years and have a white blood cell count ≥20,000 cells/microL and/or a plasma lactate between 2.2 and 4.9 mEq/L.

Emedinews: Makesure: An asthmatic patient became worse after receiving a painkiller.

Situation: An asthmatic patient became worse after receiving a painkiller.
Reaction: Oh my God! Why was he not put on zafirlukast?
Lesson: Make sure that a patient with asthma is not given aspirin or he is put on zafirlukast or montelukast.

Emedinews: Makesure: A 13–year–old girl complained of epigastric pain, fatigue and anorexia.

Situation: A 13–year–old girl complained of epigastric pain, fatigue and anorexia. Elevated serum gastric level (900 MIU/l) raised the suspicion of gastrinoma.
Reaction: Oh my God! Why did you not put her on triple therapy for H. pylori infection?
Lesson: Make sure to remember that H. pylori infection is the most important cause of hypergastrinemia other than gastrinoma in childhood.