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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


  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


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