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March 2004, Volume 34 Number 3 , p 88 - 88





  • What's the situation?

  • What's your assessment?

  • What must you do immediately?

  • What should be done later?


  • Figure. No caption a...

    DAVID JOHNSON, 66, arrives at your ED appearing flushed and panicked. He's sitting upright and leaning slightly forward in the wheelchair in an attempt to catch his breath, which is labored and stridorous. As you help him to a bed, you notice an erythematous rash over his left upper arm.

    Figure. No caption available. What's the situation?

    Between gasping breaths, Mr. Johnson tells you he received a flu shot about 15 minutes ago at the nearby senior center and now his throat feels as if it's closing. You attach him to a cardiac monitor, which reveals sinus tachycardia at 128 beats/minute, and a pulse oximeter, which shows an Spo 2 of 87% on room air. His vital signs are: BP, 88/40, and respirations, ...

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