A 56-year-old patient is complaining that his “heart is raci…
A 56-year-old patient is complaining that his “heart is racing”. He is disoriented and having difficulty breathing. Examination reveals a BP of 64 by palpation, a weak and rapid carotid pulse, and pale cool skin. The ECG is shown below. Your partner is in the process of administering oxygen. You should
Read DetailsYou are transporting a 23-year-old trauma patient from a com…
You are transporting a 23-year-old trauma patient from a community hospital to a Level I trauma center. She is receiving a unit of packed RBCs and IV fluids. Vital signs are BP 94/50, P 110, R 26, and SpO2 97% on 4 lpm NC O2. During transport she complains of chills, back pain, and she vomits. Vital signs are now BP 80/42, P 128, and R 30. You suspect
Read DetailsA 56-year-old patient is complaining that his “heart is raci…
A 56-year-old patient is complaining that his “heart is racing”. He is disoriented and having difficulty breathing. Examination reveals a BP of 64 by palpation, a weak and rapid carotid pulse, and pale cool skin. The ECG is shown below. Your partner is in the process of administering oxygen. You should
Read DetailsYour patient is complaining of a sudden onset of “ripping or…
Your patient is complaining of a sudden onset of “ripping or tearing” pain between his shoulder blades that is constant and unrelenting. His past history includes hypertension, for which is is prescribed Lisinopril that he is non-compliant with. Which of the following assessment findings would MOST likely reinforce your suspicion regarding the cause of the pain?
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