This case involves the approach to severe sepsis, more specifically acute cholangitis. If treated aggressively (IV fluids, early broad spectrum antibiotics and source control) the patient will stabilize. If not, the patient will deteriorate into a PEA arrest.
In this scenario, the learner is called to the ward to assess a 65-year old male with new VT. The learner must recognize the rhythm and institute appropriate work-up and management including electrical cardioversion.
This case involves the approach to the patient with acute dyspnea. The patient is tachypneic but with an otherwise normal respiratory exam. ECG shows new right heart strain. The team should consider multiple possibilities but recognize PE as the most likely cause.