Rapid Response

Aspiration: Blocking the airway

You’re caring for a 75-year-old man admitted to your unit with a diagnosis of ischemic stroke, left-sided weakness, and dysphagia. He receives continuous feedings…

Acute dystonic reaction

Acute dystonic reactions, movement disturban­ces, fall under the umbrella of extrapyramidal side effects. They’re associated with medications (including antipsychotics and antiemetics) that mediate dopamine.

Cystic fibrosis

A 48-year-old woman with a history of cystic fibrosis, is admitted to the surgical unit with a small bowel obstruction. At home, the patient…

Eclampsia

A 28-year-old woman who’s 8 months pregnant arrives at the obstetrics ED with right-side upper abdominal pain, a progressively worsening headache for the past…

Syncope

An 88-year-old man experiences syncope after sustaining a patellar fracture related to a fall. He’s admitted to the telemetry unit with fall and injury…

Decompression sickness

Kachina Montgomery, a 27-year-old woman, is spending her honeymoon in Florida learning to scuba dive. About an hour after her last dive, she develops…

Acute angle-closure glaucoma

While awaiting her colonoscopy, Karen Smith develops severe right periocular pain, decreased vision, and nausea. She rings her call light to notify her nurse,…

Aortic dissection

An aortic dissection is caused by a tear in the intimal wall of the aorta forcing blood to flow between layers of the aorta…

Rocky Mountain spotted fever

While on a hiking trip Mr. Johnson received a tick bite. Seven days later, he developed a headache, fever, and rash around his wrists…

Stevens-Johnson syndrome

Jordan Davidson, a 20-year-old Asian-American woman, arrives in the ED with a painful rash that has progressed to blisters on the skin and the…

Hypertrophic cardiomyopathy

John Benson*, a 45-year-old man, arrives in the emergency department (ED) with chest discomfort, shortness of breath, and palpitations that have been gradually worsening…

Aspiration: Blocking the airway

You’re caring for a 75-year-old man admitted to your unit with a diagnosis of ischemic stroke, left-sided weakness, and dysphagia. He receives…

Acute dystonic reaction

Acute dystonic reactions, movement disturban­ces, fall under the umbrella of extrapyramidal side effects. They’re associated with medications (including antipsychotics and antiemetics) that…

Cystic fibrosis

A 48-year-old woman with a history of cystic fibrosis, is admitted to the surgical unit with a small bowel obstruction. At home,…

Eclampsia

A 28-year-old woman who’s 8 months pregnant arrives at the obstetrics ED with right-side upper abdominal pain, a progressively worsening headache for…

Syncope

An 88-year-old man experiences syncope after sustaining a patellar fracture related to a fall. He’s admitted to the telemetry unit with fall…

Decompression sickness

Kachina Montgomery, a 27-year-old woman, is spending her honeymoon in Florida learning to scuba dive. About an hour after her last dive,…

Acute angle-closure glaucoma

While awaiting her colonoscopy, Karen Smith develops severe right periocular pain, decreased vision, and nausea. She rings her call light to notify…

Aortic dissection

An aortic dissection is caused by a tear in the intimal wall of the aorta forcing blood to flow between layers of…

Rocky Mountain spotted fever

While on a hiking trip Mr. Johnson received a tick bite. Seven days later, he developed a headache, fever, and rash around…

Stevens-Johnson syndrome

Jordan Davidson, a 20-year-old Asian-American woman, arrives in the ED with a painful rash that has progressed to blisters on the skin…

Hypertrophic cardiomyopathy

John Benson*, a 45-year-old man, arrives in the emergency department (ED) with chest discomfort, shortness of breath, and palpitations that have been…

Test Your Knowledge

Cannabis TYK

Which of the following best explains why clinicians face challenges in discussing medicinal marijuana with their patients?

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