Round 14 (Shortness of Breath)

CAUTION: THESE NOTES CONTAIN SPOILERS!!! Case Introduction You are sitting at your computer on an otherwise quiet night when a young male is brought into your ED in obvious respiratory distress. Initial Vitals * Temp 98.6* HR 99* RR 34* BP 105/69* O2 95% Critical Actions * Give Albuterol + Ipratropium + Steroids* Obtain Chest Xray* Give Magnesium* Place patient on BiPAP* Give IV Beta Agonist (Epinephrine) Final Diagnosis Status Asthmaticus Tips and Tricks Frequently perform verbal reassessments on patients with the examiner (vitals, patient appearance, pain, etc) Additional Reading * The Crashing Asthmatic (REBEL EM)