A 60 year old male with a history of CHF s/p LVAD presents to the ED with fatigue. You are called to triage because although he is awake and speaking, the RN can’t find a pulse or obtain a blood pressure. You auscultate a hum over the device. What do you do?
A 50 yo female with a history of gout and seizures presents to the ED with malaise. On exam you notice an erythematous, confluent, macular rash seen below as well as significant facial edema. Lymphadenopathy is present. VS are as follows: T 100.F HR 105 BP 150/85 SpO2 99% RR 18.
55 year old female presenting with left knee pain after a fall. Patient appears intoxicated and states she tripped and fell. No preceding symptoms or head trauma. Pain is 5/10. She has not been able to ambulate since the incident. On exam the patient is neurovascularly intact.
19-year-old male with past medical history significant for seizures presents with right shoulder pain. He woke up from sleep with the pain. It is 10/10 and worse with movement. He has multiple prior episodes for which he has been treated for in the ED.