Tumor lysis. Rapid goals of care. Palliative.

68 F presents with EHS with a decrease in LOC and hypoglycemia (2.0) in the context of new chemotherapy for her multiple myeloma.

Goals and Objectives

Educational Goal:

1. Management of patient with decrease in LOC in the context of myeloma
2. Rapid Communication of GOC with spouse

Objectives:

1. Approach to ALOC inpatient in the ED
2. Basic airway management/plan
3. Communication skills

EPA Assessed:

1. Core EPA #1-resuscitating and coordinating care for critically ill patients
2. Core EPA #3-providing airway management and ventilation
3. Transition to Practice EPA #6-dealing with uncertainty when managing patients with ambiguous presentations