Local paramedics respond to a call for an unresponsive teenager…
You are taking medical command when you receive a call from an ALS unit. They are picking up a 33 y/o male with unknown medical history from the beach for a witnessed seizure and confusion. The patient's friend states they were diving at a nearby shipwreck when they encountered a shark, causing the pair to swim to the surface as quickly as possible. While on the boat, the friend noted the patient was acting strangely with slurred speech.
A 25 y/o male with a history of Type 1 Diabetes presents with acute right shoulder pain.
Check out this great post from Dr. Michelle Lin from ALiEM about ABEM Oral Board Preparation including a video series from the University of Maryland Department of Emergency Medicine!