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You are working at Clerkship General on an overnight shift when the next chart is handed to you. It’s a 35 year old male with a chief complaint of groin pain.

Initial Vitals:

BP: 150/90

HR: 107

RR: 20

O2: 99% (Room Air)

Temp: 98.0F

Critical Actions:

  1. Diagnose Ischemic/Low Flow Priapism
  2. Perform Penile Nerve Block
  3. Aspirate Blood and Irrigate with Saline
  4. Inject Intracavernous Phenylepherine
  5. Diagnose and Treat Ventricular Tachycardia