You are treating a 15-year-old male who dropped out of his c…
You are treating a 15-year-old male who dropped out of his cross country race complaining of muscle pain in both of his lower extremities and abdomen. Vital signs are BP 112/60, P 122, and R 28. It is a humid day with a temperature in the 90’s. You suspect
Read DetailsA 39-year-old man’s car broke down, stranding him for approx…
A 39-year-old man’s car broke down, stranding him for approximately 18 hours. The outside temperature was 23-degrees Fahrenheit. When you arrive and assess the patient, you determine that he is pulseless and apneic, his core body temperature is estimated to be below 86-degrees Fahrenheit (30-degrees Celsius). CPR is immediately initiated and the man is loaded into the ambulance quickly. The ECG reveals ventricular fibrillation. How should you proceed with the treatment of this patient?
Read DetailsA 32-year-old firefighter presents with multiple injuries af…
A 32-year-old firefighter presents with multiple injuries after an explosion. She is gasping for air and complaining of severe light-headedness and weakness. She is breathing shallow and has equal lung sounds. During the explosion, a piece of wood pierced her thoracic wall at the fifth intercostal space along the left sternal border. She is confused, cyanotic, and JVD is present. Her apical impulse is diminished. Vital signs are BP 90/80, P 130, and R 30. You suspect
Read DetailsYour patient is presenting with variable degrees of acute sp…
Your patient is presenting with variable degrees of acute spinal injury as a result of a fall from atop a 20-foot ladder. His skin is pink, warm, and dry, his upper extremities are flaccid, and there are absent reflexes. Sensory function below the level of the injury is impaired. Vital signs are BP 96/68, P 74, R 18, and SpO2 97% on room air. You suspect
Read DetailsA 32-year-old firefighter presents with multiple injuries af…
A 32-year-old firefighter presents with multiple injuries after an explosion. She is gasping for air and complaining of severe light-headedness and weakness. She is breathing shallow and has equal lung sounds. During the explosion, a piece of wood pierced her thoracic wall at the fifth intercostal space along the left sternal border. She is confused, cyanotic, and JVD is present. Her apical impulse is diminished. Vital signs are BP 90/80, P 130, and R 30. You suspect
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