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Cyberschool Creators: Kevin Baumlin, MD & Michael Bessette, MD
Module Author: Edward Mintz, MD
Web Authors: Carol Lewis & Marcy Wang
| You are working in the emergency department on a hot sunny day in August. EMS brings in a young appearing male patient found wandering aimlessly near the reservoir in Central Park. He is wearing shorts, a tank top, and sneakers. His pockets contain only an empty Ventolin inhaler and a ten dollar bill. When you approach him, he is muttering incoherently and appears to have very labored respirations. He has dry, flushed skin and is not sweating. |
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1. |
What is your initial approach to this patient? |
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2. |
The patient is found to have a temperature of 41.2 C, pulse=150, BP=100/70, Resp=14 and shallow. How should you proceed? What studies or tests should you obtain? |
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3. |
Despite the rapid infusion of saline, the patient becomes more hypotensive. How should this be managed? |
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4. |
During your treatment the patient appears to have a brief seizure lasting only about 30 seconds. How should this be managed? |
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5. |
What are some of the complications of this patient's illness and how should they be managed? |
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6. |
What are the possible long-term sequelae of this patient's illness? |
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