![]() He has soot in his nares with carbonaceous sputum, and auscultation reveals rhonchorous and wheezing breath sounds bilaterally. ![]() His vital signs include BP 78/40, HR 155, T 99.9 Oral, RR 40, SpO2 92% on 15L NRB. The patient has been mildly responsive en route with noisy breathing. The fire department found burned couches in the house with melted plastic covering. We’ll keep it short, while you keep that EM brain sharp.Ī 13-year-old male is brought in by EMS for altered mental status after being found in a house fire. ![]() ![]() Welcome to an emDOCs series designed to foster your working knowledge by providing an expedited review of clinical basics. Author: Rachel Bridwell, MD EM Chief Resident Physician, SAUSHEC / San Antonio, TX) Amber Cibrario, DO EM Staff Attending Physician, San Antonio, TX) // Reviewed by: Brit Long, MD EM Attending Physician, San Antonio, TX) and Alex Koyfman, MD EM Attending Physician, UTSW / Parkland Memorial Hospital) ![]()
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