EM Clerkship

Round 27 (MW) Geriatric Fever


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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





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EM ClerkshipBy Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD