Rhythm Nation: March 2017

It’s Sunday morning 10 am and a patient finally pops up on the whiteboard: “19 Y M, CHEST PAIN.” Your favorite. The patient is a 19 year-old man with no PMH BIBEMS with chest pain. He lifted weights yesterday, and…

Don’t Clam Up: Emergent Thoracotomy

    29 year-old male arrives as a trauma notification. EMS states patient had a single gunshot wound to the mid-chest with vitals as follows: HR 120, BP 90/50, RR 22, SpO2 95%. The patient is mumbling incoherently with spontaneous…

Temper Tantrums Gone Wrong!!!

A 25 year-old male presents with swelling and pain to the hand. He just had a temper tantrum at home and punched his wall. You examine his hand and find significant point tenderness and swelling over the 5th metacarpal bone of his…

So Bored I Threw a Punch (Fight Bite)

A 25 year-old male is brought into the emergency room after an argument about whether Tom Brady is the “Greatest Of All Time” turned into fistacuffs. He is alert, oriented, slightly intoxicated, and has visible injuries including a black eye,…

Black and Blue and Red All Over

  A 72 year-old female presents to your ED for excruciating, “10/10” left leg pain. Patient states that the pain awoke her from sleep two days ago, but she never went to the ED because she hates doctors. She states she’s having…