The Israel Association for Emergency Medicine

PODCAST: Case -Altered Mental Status

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You are working at Clerkship General when the charge nurse comes and grabs you… “Hey doc, we need you in room 2, this kid looks sick…”

Initial Vitals:

BP: 68/40

HR: 128

RR: 22

O2: 99% (Room Air)

Temp: 103.5F

Critical Actions:

  1. Diagnose Meningitis and Perform Lumbar Puncture
  2. Give Empiric Antibiotics
  3. Treat Septic Shock
  4. Give Steroids
  5. Give Prophylaxis to Close Contacts
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