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?
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