A 3-day-old term male infant is brought to the ED by EMS after being seen at their Family Physician’s office with a low temperature (33.1oC). The child has been feeding poorly for about 12 hours, and has vomited twice. He is lethargic on examination and poorly perfused with intermittent apneas lasting ~ 20 seconds. He requires immediate fluid resuscitation and broad-spectrum antibiotics. His perfusion will improve after IVF boluses, however the apneas will persist and necessitate intubation.
Tag: PEA arrest
Ruptured AAA
A 70-year-old male presents to the emergency department after a syncopal episode and then found to be obtunded by his daughter. He is hypotensive and tachycardic on arrival secondary to a AAA rupture into the retroperitoneal space. He requires intubation and fluid resuscitation with blood products to avoid a PEA arrest secondary to hypovolemia.
EM Sim Cases 