You are working at Clerkship General when the nurse comes up to you and says, “Hey doc, EMS dropped off this guy named Randy from the memory care unit at the nursing home down the street. He’s in the hall bed outside of room 7. EMS says he’s here for confusion, we will get him in a room once we can get one clean.

Initial Vitals:

HR: 118

BP: 109/55

Temp: 102.5 F

RR: 22

O2: 99% Room Air

Critical Actions:

  1. Check a blood glucose
  2. Obtain a full set of vitals
  3. Diagnose necrotizing soft tissue infection
  4. Consult surgery before a CT scan
  5. Correct antibiotic coverage