EM Clerkship

You are working at Clerkship General on New Year’s Day when you see a nurse running from triage. He is carrying an unresponsive child to the resuscitation bay.

Initial Vitals:

HR: 43

BP: 47/20

Temp: 66F

RR: 4

O2: 95% (BVM)

Critical Actions:

* Obtain Core Temperature

* Use the Broslow Tape

* Follow PALS

* Begin Invasive Warming

* Transfer for ECMO

You are working at Clerkship General when you hear an EMS call on the base command radio. “Clerkship General. We are bringing you a minimally responsive 79 year-old female found lying on the floor inside her apartment. ETA 5 minutes”

Initial Vitals:

HR: 143

BP: 160/105

Temp: 106.3F

RR: 22

O2: 99% Room Air

Critical Actions:

* Blood glucose

* Obtain core temperature

* Rapidly cool the patient

* Diagnose rhabdomyolysis

Introduction:

You are working at Clerkship General when the next chart is handed to you. It’s a 35-year-old female with a chief complaint of dizziness and fatigue. She is here accompanied by her husband.

Initial Vitals:

HR: 118

BP: 150/91

Temp: 100.4F

RR: 20

O2: 99% Room Air

Critical Actions:

* Check pregnancy test

* Check hemolysis labs

* Diagnose TTP

* Consult hematology

* Initiate treatment for TTP

Transcript/Summary coming soon!

You are working at Clerkship General when you hear a woman screaming from triage… It’s baby time!

Initial Vitals:

HR: 120

RR: Shallow

O2: 58%

Critical Actions:

* Place neonate in warmer

* Administer positive pressure ventilation

* Obtain pre-ductal pulse ox

* Check blood glucose

* Place umbilical vein catheter

* Administer dextrose

Transcript coming soon!

You are working at Clerkship General when the nurse comes up to you and says, “Hey doc, EMS dropped off this guy named Randy from the memory care unit at the nursing home down the street. He’s in the hall bed outside of room 7. EMS says he’s here for confusion, we will get him in a room once we can get one clean.

Initial Vitals:

HR: 118

BP: 109/55

Temp: 102.5 F

RR: 22

O2: 99% Room Air

Critical Actions:

* Check a blood glucose

* Obtain a full set of vitals

* Diagnose necrotizing soft tissue infection

* Consult surgery before a CT scan

* Correct antibiotic coverage