A 61-year-old male presents in middle of July with altered mental status. The patient's son states the patient has been increasingly weak for the past three days. The patient has been having multiple episodes of non-bloody diarrhea with associated decreased appetite. Initial triage vital signs include BP 104/66, HR 111, RR 18, SpO2 99%, Temp 36.9 C. He appears clinically dehydrated with dry mucous membranes and poor skin turgor with tenting. An initial rapid VBG reveals a sodium of 161 mEq/L.

Originally published on Ultrasound G.E.L. on 1/30/17 – Visit HERE to listen to accompanying PODCAST! Reposted with permission. Follow Dr. Michael Prats, MD (@PratsEM), Dr. Creagh Bougler, MD (@CreaghB), and Dr. Jacob Avila, MD (@UltrasoundMD) from Ultrasound G.E.L. team! Regional Nerve Blocks Improve Pain and Functional Outcomes in Hip Fracture: A Randomized Controlled Trial Journal of the American […]

Today on EM in 5 from Dr. Pickens we look at the Pediatric EKG. Enjoy!

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Myocardial infarction (MI) in children is uncommon, but underdiagnosed. This is due to two main factors: the etiologies are varied; and the presenting symptoms are “atypical”.