Clint is an 80 year old male vacationing at Hotel DLM. He comes yearly and is often seen hanging out at the bar, enjoying a cigar. Today he was seen at the bar with his pack of Marlboro’s but this time hunched over and complaining of severe back pain. The bartender notes he was pale and ill-appearing.

Vitals: T 98.8. BP 90/50. P 70. RR 20. O2 98%

Perform the indicated ultrasound exam

The hotel staff just gave some more updated vital signs.

RR 26. O2 88%

Make that FAST an e-FAST. Add on the lung views

Pete loves the nightlife at the hotel DLM. Their rooftop bars and pools are known for hosting some of the best parties around! Pete was last seen at a party on the 4th floor balcony overlooking the pool. Someone at the party last saw him leaning over the railing and waving to someone.

Pete’s vitals: HR 130. BP 85/40

Perform a FAST exam

Polly is visiting from Italy for an extended vacation. The bartender at the poolside cabana provides additional history and notes she also complained of shortness of breath with her lower chest pain.

Her vitals are: T 99, HR 119, BP 80/50, RR 24, O2 87%

Perform a cardiac exam

This visitor to the hotel DLM was last seen at the poolside cabana eating French fries and deep fried coconut shrimp. She then started complaining about right sided lower chest pain and back pain.

You will need to complete a biliary scan on this patient.