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The document presents a case study of a 24-year-old female patient who was found unresponsive. Initial examination found the patient to have a Glasgow Coma Scale of 10/15, tachycardia, hypertension, and signs of respiratory distress. Laboratory tests revealed metabolic acidosis, elevated white blood cell count and creatinine, and rhabdomyolysis. Ultrasound showed signs of pregnancy. The patient was treated for pre-eclampsia with magnesium sulfate and antihypertensives, intubated, and underwent termination of pregnancy. She was admitted to the ICU and later discharged in good condition.Heroic procedures you should know
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1) A 31-year-old man presented with a stab wound to the chest and became unresponsive. Emergency thoracotomy is indicated to treat pericardial tamponade, control hemorrhage, perform open cardiac massage, and temporarily occlude the thoracic aorta.
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challenge rashEM OMSB
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1. The document discusses the evaluation and management of patients presenting with rashes, focusing on acute skin failure. It outlines the key components of obtaining a history, physical examination of different rash morphologies, and challenges in diagnosing conditions like Steven-Johnson syndrome.
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Cocaine use causes the release of dopamine, epinephrine, norepinephrine, and serotonin. It also blocks sodium channels, producing analgesic and local anesthetic effects. Acute cocaine use can cause hypertension, tachycardia, hyperthermia, and other symptoms of excess sympathetic stimulation. Complications include hypertensive crises, cardiac dysrhythmias, strokes, and other end-organ damage. Treatment involves sedation with benzodiazepines, cooling measures for hyperthermia, and use of phentolamine for hypertensive emergencies.Case presentation
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Case Presentation EM OMSB
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