Removed from classrooms and clinics amid the coronavirus disease 2019 (COVID-19) pandemic, health professions students have answered the call to fulfil alternative roles by rapidly mobilising to address health system and community-identified needs in innovative ways. 1 Many institutions, including the University of Nebraska Medical Center (UNMC), have formally recognised student roles by adding service learning requirements to adapted curricula. Although the crisis has spurred an explosion of student-led volunteer initiatives, many risk operating beyond the protection of their academic institution and could bolster their efficacy by harnessing institutional resources.

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An 8-year-old previously healthy male was diagnosed with thrombotic thrombocytopenic purpura (TTP) and increased serum cardiac troponin I. Telemetry recorded non-sustained ventricular tachycardia, without ST-segment changes or other abnormalities on serial electrocardiogram. This case illustrates that cardiac monitoring by telemetry should be considered in high-risk TTP with elevated cardiac troponin.

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