A 1 week old male born at full term presents to the ED with difficulty breathing and a weak cry. Mom also notes that he appears “sweaty” during feeds today and has had fewer wet diapers. History is significant for scant prenatal care however delivery was uncomplicated. On exam he is cyanotic with oxygen saturation 70% on 5L NC O2. Vital signs are as follows: T 36C, HR 180, RR 65, BP 60/30. Which should you order first?
Kat Kaminski, MD
A 40-year-old woman with a history of hysterectomy 2 months ago presents with 3 days of fever and productive cough. Her vitals are as follows: T 101.2F HR 95 RR 18 BP 125/74 SpO2 99%. Her initial blood work is unremarkable and she is well appearing. CXR reveals a left lower lobe infiltrate. What is the best plan for this patient?
A 31-year-old 70-kg male is grilling at a BBQ when he accidentally lights himself on fire. On exam in the ED he is found to have full-thickness burns to the front of his torso as well as his left arm. He also has superficial burns to his right leg. What is the recommended fluid requirement for this patient in the next 24 hours?
A 55 yo male with unknown past medical history is found by EMS outside on a hot summer day with AMS and brought to your ED. Skin is notably dry and hot. Core temperature is found to be 105F. What is the best way to cool him down while you perform your resuscitation?