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?

A 26 year old female at 40 weeks gestation presents to your emergency department in labor.  During the delivery you notice retraction of the fetal head against the maternal perineum and are unable to deliver either shoulder.  Which of the following steps below should be performed first?

1. Suprapubic pressure with flexion of hips 
2. Episiotomy 
3. Rotate mother to prone position 
4. Cephalic replacement 
5. Intentional clavicle fracture 

Can you identify what type of Salter Harris fracture this patient has?