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Beta Blocker Toxicity

Shawn, a 50-year-old male, has impulsively taken the entire bottle of metoprolol. The estimated ingestion is of 100 x 50 mg tablets (5000 mg) approximately 45 minutes prior to presentation.

Massive Hemoptysis

Akito Tanaka, a 63-year-old male, is brought into the emergency department with symptoms consistent with COPD exacerbation. He has a former smoking history, COPD on home O2, and is on anticoagulation for atrial fibrillation.

Aortic Dissection

Antonio Garcia, 49 years old, and has chest pain and abdominal pain. Symptoms started 2 hours ago with abdominal pain that was sudden in onset, diffuse, crampy, 10 on 10. This then travelled up into his chest.

MVC with Tension Pneumothorax

James Anderson, 40 years old, was the driver in a single vehicle collision at highway speed. He has an obvious open fracture of his left forearm and decreased air entry to the right of his chest.

Anaphylaxis

Kevin Shaw, 65-year-old, has developed a rash and nausea shortly after starting an IV dose of tazocin. Kevin was admitted for treatment of a diabetic foot infection that has been progressing despite oral antibiotics.

Subarachnoid Hemorrhage

Joseph Taylor, 50 years old, while lifting weights at the gym, complained of a sudden headache and soon fell to the ground. He’s suffered an aneurysmal subarachnoid hemorrhage (SAH).

Hyperkalemia

Doug Smith, 62-year-old male, was awaiting discharge but was noted to be hypokalemic on labs. Due to clerical error he has been administered 10 times the recommended dose of KCl 10mEq in 100cc NS bolus.

Pulmonary Embolism

Joanne Black is diagnosed with ovarian cancer and is receiving chemotherapy. Surgery is planned for the next day. Around 4 hours after blood transfusion she started developing shortness of breath and central chest discomfort.

Patient Safety – Room Preparation

You have been entrusted with the task to prepare a patient room for a patient at risk for self-harm. Review the room environment and ensure that all objects of potential risk are removed or placed in inaccessible locations.