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em@3am

EM@3AM: Hypertensive Emergency

A 63-year-old female presents with nausea, vomiting, and altered mental status. Initial VS demonstrate BP 225/121, HR 88, 98% RA, T 98F, RR 18. What are your next steps?

em@3am

EM@3AM – Hyperthermia

A 23-year-old male is brought in by EMS with agitation. His VS include T 41 C, HR 133, BP 182/115, RR 26, D stick 118. EMS is concerned for ingestion, and the patient is not cooperative. What's your next step?

em@3am

EM@3AM: Post Cardiac Arrest Care

A 42-year-old male is brought in by EMS with ventricular fibrillation. You are finally able to obtain ROSC, though the patient remains comatose. What are your next steps? This week's EM@3AM covers post cardiac arrest care.

em@3am

EM@3AM – Hypothermia

A 42-year-old female presents with altered mental status after being found outside. She is bradycardic and hypotensive, and your normal thermometer reads "Error". You ask for a core monitor, which provides a reading of 27C.

em@3am

EM@3AM – Hyperemesis Gravidarum

A 32-year-old G2P1 at 7 weeks presents with weight loss, nausea, and vomiting, sent by her primary care physician. She has ketones present, and she has lost 8 lbs. Read this week's EM@3AM for more on hyperemesis gravidarum.

em@3am

EM@3AM – Hemolytic Uremic Syndrome

A 2-year-old female presents to the ED with 3 days of fever, cough, congestion, and watery diarrhea. The patient's mother is concerned as the toddler had two episodes of bloody diarrhea prior to arrival. You obtain a stool sample: fecal occult blood test is positive. Read this week's review to find out why HUS should be on your differential diagnosis.