Hello, men students.

My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast.

Here's this week's case.

Okay, everybody, this is Dakota.

He's a three-and-a-half-year-old male.

He's awoken with diffuse

abdominal pain. According to mom, he vominated about five times. Some of that was productive.

Has a rash on the anterior chest. He was lethargic when we got there since we've been there

with him and through the transport. Now crying, as you can see. Lone sounds were clear as far as

we could tell.

We then noticed O2 sats dropping and had cyanosis around the lips.

So he put him on O2.

He had no previous fever, now 102.3 rectal.

Mom and extended family are out here, so just FYI.

GCS at 10 10 BP 100 over 60

Pulse 20 97% on the O2 and no allergies no meds had not been sick for the past couple days any questions anybody I know it's a lot he's kind of crunking on us okay thank you So this is a disaster, right?

Pediatric emergencies happen all of the time in real life,

commonly enough so that you will see all of the stuff that you learn about in medical school many, many times.

But just rare enough so that right when you start to in medical school many, many times, but just rare enough

so that right when you start to get rusty on the approach to a sick kid, bam, a train wreck

lands in your lap and it's like you forgot everything you've ever learned.

You combine that with panicking and interfering parents, difficult IV access, a child that could be literally

...