Round 21 (Drowning)
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Description
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
You are working a shift at EM Clerkshift General when EMS calls you on the radio… “Hey doc we’re bringing a young female who drowned in a pool ETA 1 minute”.
Initial Vitals
* Temp 95.0F* HR 55* RR 5-6* BP 110/82* O2 90%
Critical Actions
* Evaluate for traumatic injury (and/or place C-Collar)* Intubate the patient* Identify Long QT Syndrome on ECG* Treat Pulseless Polymorphic VTach with defibrillation and IV magnesium* Treat Polymorphic VTach (pulse present) with overdrive pacing (transcutaneous pacing or isoproterenol)
Further Reading
Torsades de Pointes – EMCrit
More Episodes
* Common during the first year of life as well as during puberty
* Presents with nausea/vomiting, abdominal pain, and/or testicular pain
* ALWAYS examine a child for signs of torsion who presents with abdominal pain (especially lower abdominal pain)
* Look for tenderness,...
Published 04/16/24
Published 04/16/24
You are working at Clerkship General when the next patient is put into your rack. It is an 8 year-old male with vomiting
Initial Vitals:
HR: 119
BP: 104/63
Temp: 98.0F
RR: 20
O2: 99% (Room Air)
Critical Actions:
* Finger Stick Blood...
Published 04/02/24
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