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Preeclampsia

Alice Jones, 20, delivered a baby five weeks ago. One week back she developed an upper abdominal pain and later had a headache and shortness of breath. Her pain has worsened, she is nauseous and has vomited once.

Shoulder Dystocia

A 30-year-old patient is G1 P0 at 40 weeks gestation. She has been pushing for one and half hours and is exhausted. The baby’s head delivers, and shoulder dystocia occurs.

Coughing Child

Joan is visiting a pediatric primary care clinician with her 2-year-old son Aiden to get help for his persistent cough, wheezing, and runny nose.

Pediatric Intraosseous Infusion

Pediatric intraosseous infusion is initiated when vascular access is required emergently but is difficult to achieve via peripheral vain. Compared to adults, the level of care required is greater for pediatric patients.

Pediatric DKA

Anna is in the ED unwell with abdominal pain and vomiting. She has received a 20cc/kg bolus for initial hypotension and an insulin bolus of 8 units. EMS lost the IV en route, and the patient is now more somnolent in the ED.

Pediatric Anaphylaxis

Kevin, 7, is known to be allergic to peanuts. Ten minutes after eating a cake, he developed wheeze, shortness of breath and rash. His mother administered his epinephrine auto-injector and called EMS.

Pediatric Septic Shock

Olivia, 4, is in ED as she is lethargic and “not herself”. She has had a fever and cough for the past three days. On arrival she looks toxic, has delayed capillary refill, a glazed stare, tachypnea, and tachycardia.

Pediatric SVT

Jerry, a 12-month-old infant, and has been brought into the ED by his parents. He has been fussy, crying all night, not been feeding well, and vomited once. Jerry is found to have a significantly elevated heart rate.

Pediatric Bronchiolitis

Seven month old Tania’s older sibling developed a cold four days prior and next day Tania had a running nose and a cough. Yesterday she did not eat or drink much and this morning she had some noisy breathing.