ER January 26, 2014 IM = 3 Pedia = 3 OB = 0 Surgery

=1

Admission = 3 is!"arged = 4 IM #ame$age$ address Ini%ia& im'ression A)E *$ some signs o+ ,#, -$. Ma&a/sor'%ion syndrome, s"or% /o*e&, s$' re'air o+ !o&os%omy, s$' e0 &a'1 2i%" /o*e& rese!%ion due %o gun s"o% *ound, s$' !ranio%omy, A-P E0uda%i8e iagnos%i!s Serum E&e!%ro&y%e, +e!a&ysis, B3#, .rea%inine #o%e4 Serum 'o%assium4 215 ER managemen% ,oo6ed %o P#SS +as% dri' 200!!, %"en regu&a%e %o 0 5"rs1 A&7Mg O,, Sime%i!one, (ina& diagnosis ,y'o6a&emia, A)E is'osi%ion Re+er %o IM +or admission, 'a%ien% re+used admission1 IM ad8ise immedia%e ++9u' and !&ose moni%oring /y "er : aug"%er; nurse ,ome meds4 .on%inue ome'ra<o&e 40mg -a/, =.& %a/&e% 1 %a/ -I ++ u' a+%er 3days is!"arged

Meas&es

Para!e%amo& >00mg s%a%, %"en ? 4, .o9 amo0i!&a8 62>mg -I 0 @days )arg&e Para!e%amo& >00mg ?4, PPA -I , .ar/o!is%ein -I , re8erse iso&a%ion, In!rease +&uid, 8i% !

A-P, E0uda%i8e

Meas&es

is!"arged *i%" "ome meds

PE IA A)E *$ modera%e ,# ,y'ersensi%i8i%y Rea!%ion A)E *$modera%e OB #ame$age$ address 0 S3R)ERA #ame$age$ address Ini%ia& im'ression 0 0 iagnos%i!s ER managemen% 0 (ina& diagnosis 0 0 is'osi%ion ,# i'"en"ydramine IM A)E *$ modera%e ,# ,y'ersensi%i8i%y Rea!%ion A)E *$modera%e ,# A MI--E +or re"ydra%ion is!"arged *i%" "ome meds4 !e%iri<ine 01>m& od OP ++9u' on Jan 25, 14 A MI--E +or re"ydra%ion

Ini%ia& im'ression ,ead -rauma se!ondary %o +a&&

iagnos%i!s S6u&& 0 Ray

ER managemen% Moni%oring

(ina& diagnosis ,ead -rauma due %o (a&&

is'osi%ion A MI--E