Pulsus PAradoxus {Ans: Drop in blood pressure >10 mmHg with inspiration Narrowing pulse pressure}Presentation of Hip Fracture {Ans: Shortened and Externally rotated leg}Meniere's Disease {Ans: Abnormal condition within the labyrinth of the inner ear that can lead to a progressive loss of hearing. The symptoms are dizziness or vertigo, hearing loss, and tinnitus (ringing in the ears).}Myxedema Coma {Ans: Severe hypothyroidism leading to decreased mental status, hypothermia, and other symptoms related to slowing of function in multiple organs. It is a medical emergency with a high mortality rate}Rocky Mountain Spotted Fever {Ans: Vector Born (mosquitos, ticks, fleas) and Animal Born Diseases Tick Bites Can be fatal. Fever, headache, abdominal pain, vomiting. Needs Doxycycline form hospital}Assessment Sequence {Ans: BSI Scene Size Up Scene Safety MOI/NOI Number of Pt. Additional Resources Consider C-Spine Primary Survey General Impression AVPU Chief Complaint/Life Threats Airway, Breathing, Circulation Treatment/Transport}