Postpartum hemorrhage
Freya Jenkins*, a 22-year-old woman, delivers 32 week gestation triplets via cesarean birth. In the operating room, she experienced quantitative blood loss of 1,050…
Rapid Response
Traumatic hyphema
Brian Wright*, a 34-year-old man with a history of essential hypertension, is struck in the right temple with a bat during a softball game.…
Wernicke’s encephalopathy
Amber White*, a 35-year-old woman who’s 21 weeks pregnant, arrives in the ED with an altered level of consciousness, blurred vision, weakness, and ataxia.…
Neuroleptic malignant syndrome
Neuroleptic malignant syndrome, a life-threatening neurologic emergency, frequently occurs with dopamine antagonists (antipsychotics and antiemetics).
Vancomycin flushing syndrome
Shantae Demano*, a 62-year-old woman with a history of recent total left knee surgery, is admitted to the ICU with sepsis and an infection…
Pediatric malignant hyperthermia
Daniel Sanchez*, an 8-year-old boy, arrives in the pediatric recovery unit after an appendectomy. You note that his electronic health record (EHR) indicates Daniel…
Subarachnoid hemorrhage
Karen Thompson*, a 55-year-old woman, arrives in the ED via ambulance. She reports the worst headache of her life and sensitivity to light. She…
Herpes zoster ophthalmicus
Caroline Carey*, a 62-year-old woman recently diagnosed with non-small cell lung cancer, arrives at the emergency department (ED) with fatigue, facial pain, and a…
Postoperative atelectasis
Early recognition and prompt action achieve a positive outcome. Atelectasis occurs in 90% of patients who receive general anesthesia. Partial or complete collapse of…
Acute mesenteric ischemia
With a mortality rate exceeding 50%, acute mesenteric ischemia requires prompt nursing identification and vascular intervention. Most patients experience acute onset of abdominal pain…
Hypoglycemia and the Rule of 15
The parents of Susie Johnson*, a healthy 8-year-old child, bring her to the emergency department because she’s been experiencing abdominal pain, nausea, and vomiting.…
Hemothorax
Treatment for respiratory distress follows the ABC acronym (airway, breathing, circulation). Responders must first ensure adequate ventilation and oxygenation and then perform FAST, a…
Postpartum hemorrhage
Freya Jenkins*, a 22-year-old woman, delivers 32 week gestation triplets via cesarean birth. In the operating room, she experienced quantitative blood loss…
Traumatic hyphema
Brian Wright*, a 34-year-old man with a history of essential hypertension, is struck in the right temple with a bat during a…
Wernicke’s encephalopathy
Amber White*, a 35-year-old woman who’s 21 weeks pregnant, arrives in the ED with an altered level of consciousness, blurred vision, weakness,…
Neuroleptic malignant syndrome
Neuroleptic malignant syndrome, a life-threatening neurologic emergency, frequently occurs with dopamine antagonists (antipsychotics and antiemetics).
Vancomycin flushing syndrome
Shantae Demano*, a 62-year-old woman with a history of recent total left knee surgery, is admitted to the ICU with sepsis and…
Pediatric malignant hyperthermia
Daniel Sanchez*, an 8-year-old boy, arrives in the pediatric recovery unit after an appendectomy. You note that his electronic health record (EHR)…
Subarachnoid hemorrhage
Karen Thompson*, a 55-year-old woman, arrives in the ED via ambulance. She reports the worst headache of her life and sensitivity to…
Herpes zoster ophthalmicus
Caroline Carey*, a 62-year-old woman recently diagnosed with non-small cell lung cancer, arrives at the emergency department (ED) with fatigue, facial pain,…
Postoperative atelectasis
Early recognition and prompt action achieve a positive outcome. Atelectasis occurs in 90% of patients who receive general anesthesia. Partial or complete…
Acute mesenteric ischemia
With a mortality rate exceeding 50%, acute mesenteric ischemia requires prompt nursing identification and vascular intervention. Most patients experience acute onset of…
Hypoglycemia and the Rule of 15
The parents of Susie Johnson*, a healthy 8-year-old child, bring her to the emergency department because she’s been experiencing abdominal pain, nausea,…
Hemothorax
Treatment for respiratory distress follows the ABC acronym (airway, breathing, circulation). Responders must first ensure adequate ventilation and oxygenation and then perform…
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