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 24 year old male presents to your emergency department with severe hand pain after a fall while snowboarding. The patient states that he fell onto an outstretched left hand. On exam the patient has dorsal radial wrist tenderness with decreased range of motion. His XRAY is below. What is the diagnosis?
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?
- Suprapubic pressure with flexion of hips
- Rotate mother to prone position
- Cephalic replacement
- Intentional clavicle fracture
A 25 y/o female presents to your emergency department with heart palpitations for past 4 days. Her vital signs are blood pressure of 180/90, heart rate of 120 beats per minute, respiratory rate of 22 breaths per minute, and temperature of 102°F. After thorough examination and workup you make the diagnosis of thyroid storm. What is the correct sequence of medications to treat thyroid storm?
A 26 year old male presents to your Emergency Department with bilateral lower extremity weakness. He states he recently had a “stomach bug” following a camping trip. You suspect Guillain-Barre Syndrome. Which of the following is most consistent with GBS?
A) CSF with elevated protein
C) Facial droop
D) Sterile pyuria
E) Vesicular rash