Rapid Response

Organophosphate poisoning

A 32-year-old man with no significant past medical history experiences acute shortness of breath, watery eyes, and twitching while working in a soybean field.…

COPD exacerbation

A 75-year-old man with a history of chronic obstructive pulmonary disease (COPD), hypertension, and a 20-pack-year smoking history, is transferred from the ED to…

Spontaneous pneumothorax

A 19-year-old man with no significant medical history develops sudden, sharp, left-sided chest pain while playing basketball. After 8 hours, his pain doesn’t improve…

Crohn’s disease and GI perforation

JUSTIN REYNOLDS*, a 22-year-old man, arrives at the medical–surgical unit for a diagnostic workup after reporting abdominal pain, diarrhea, vomiting, and weight loss for…

Serotonin syndrome

A 54-year-old woman arrives at the ED with flu-like symptoms, including fatigue, muscle aches, and a mild fever. Her medical history includes depression, which…

Alpha-gal syndrome

A 67-year-old woman arrives at the ED in distress. She tells the ED triage nurse that about 3 hours after eating beef nachos, she…

Pericarditis

Pericarditis, an inflammation of the pericardial sac, typically occurs as a result of a viral infection. It’s most common in men between 20 and…

Malignancy-induced hypercalcemia

A 69-year-old man arrives in the ED with reports of persistent fatigue, nausea, vomiting, anorexia, excessive thirst, increased urination, and back pain for 3…

Acute myeloid leukemia

An 80-year-old man received a diagnosis of acute myeloid leukemia. He’s been hospitalized for a month, including an ICU stay during which he received…

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.

Organophosphate poisoning

A 32-year-old man with no significant past medical history experiences acute shortness of breath, watery eyes, and twitching while working in a…

COPD exacerbation

A 75-year-old man with a history of chronic obstructive pulmonary disease (COPD), hypertension, and a 20-pack-year smoking history, is transferred from the…

Spontaneous pneumothorax

A 19-year-old man with no significant medical history develops sudden, sharp, left-sided chest pain while playing basketball. After 8 hours, his pain…

Crohn’s disease and GI perforation

JUSTIN REYNOLDS*, a 22-year-old man, arrives at the medical–surgical unit for a diagnostic workup after reporting abdominal pain, diarrhea, vomiting, and weight…

Serotonin syndrome

A 54-year-old woman arrives at the ED with flu-like symptoms, including fatigue, muscle aches, and a mild fever. Her medical history includes…

Alpha-gal syndrome

A 67-year-old woman arrives at the ED in distress. She tells the ED triage nurse that about 3 hours after eating beef…

Pericarditis

Pericarditis, an inflammation of the pericardial sac, typically occurs as a result of a viral infection. It’s most common in men between…

Malignancy-induced hypercalcemia

A 69-year-old man arrives in the ED with reports of persistent fatigue, nausea, vomiting, anorexia, excessive thirst, increased urination, and back pain…

Acute myeloid leukemia

An 80-year-old man received a diagnosis of acute myeloid leukemia. He’s been hospitalized for a month, including an ICU stay during which…

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…

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