You are called to the home of a 45-year-old, 240-pound male…

You are called to the home of a 45-year-old, 240-pound male whose wife says she fears he is having a heart attack. You find him in bed complaining of severe chest pain. His vitals are BP 150/88, his P 120 thready & regular, R30 shallow and regular with dyspnea, SOB and a sharp increase in pain when you ask him to take a deep breath. You note a cast on his leg due to a recent accident.  From these signs and symptoms, you suspect:

You are called to the home of a 12-year-old female with a ch…

You are called to the home of a 12-year-old female with a chief complaint of shortness of breath. You find no evidence of trauma. She complains of numbness & tingling of the lips and dizziness. Vitals are BP 116/80, P 120 and strong, R 32 and regular, and SpO2 of 99%. Skin signs are warm, flush, and dry. For this patient, you would: