CAUTION: THESE NOTES CONTAIN SPOILERS!!!
EMS brings in an elderly man who has fallen…
- Temp 98.6
- HR 58
- RR 16
- BP 105/60
- Treat the patient’s pain
- Consult orthopedics for a hip fracture
- Obtain an EKG
- Treat Severe Hyperkalemia
- Consult nephrology for dialysis
Ground level fall resulting in hip fracture, missed dialysis, and severe hyperkalemia
Tips and Tricks
Patient’s will frequently have more than one final diagnosis. Do not prematurely close an the initial, obvious, diagnosis.
A man can have as many diseases as he damn well pleases!Hickam’s dictum