Presented by: Dr. Niccole Bart Summary by: Dr. Kaycie Corburn The Case: 70 year old female with a long past medical history including a previous heart block with a pacemaker placed 20 years ago presents to the ED following a witnessed VF arrest with ROSC in the field within 5 minutes of Read more…
A 69-year-old female with diabetes, HTN, high cholesterol, previous angina with stents placed 8 months ago presents for central, non-radiating chest pain with belching and shortness of breath. The pain began while watching the finale of the Bachelor this week. The patient endorses that she has not taken any of Read more…
A 27-year-old female presents following a “fall” at home. The patient denies having LOC, has had no vomiting since the incident. She denies blurred or decreased vision in the effected eye, no neck pain, no weakness, no numbness or tingling. Exam shows a well appearing woman with vital signs that Read more…
This block’s EM-CCM was a fantastic review of a commonly seen problem at its extreme. For the sake of brevity we will review: Renal failure associated metabolic derangements Indications for urgent dialysis Treatment of hyperkalemia- this is our bread and butter To bicarb or not to bicarb Not all troponinemia Read more…
A 54-year-old female with diabetes, hypertension, end-stage renal disease on dialysis presents to the ED after “Snowmageddon” with a complaint of generalized weakness. She answers questions, but seems slightly confused. While awaiting for the initial vital signs, you feel her pulse and find that it is approximately 45. You place Read more…
EM-CCM Conference 1/21/15 Fire Exposure/Injuries Presented by: Dr. Danica Gomes Summary by: Dr. Kaycie Corburn The Case: 60 yo F unknown PMH BIBEMS from a house fire. There were known fatalities at this house fire. The patient was being ventilated by EMS personnel via BVM on arrival. Triage vitals revealed Read more…
Whew! We made it to the last week of Environmental Emergencies. I thought that it would never end. A terrified government worker who frequently receives threatening mail with strange powder in it presents with a rash accompanied by fever. The rash has been present for 4 days. What features of Read more…
Spoiler alert! EM-CCM next week will continue on this very seasonal topic. A fire breaks out in a fictional borough in a fictional metropolis. A family of 4 is brought from a fire in a townhouse.The three children disappear into the loving care of the pediatric ED and you are Read more…
A 27-year-old female is brought to the emergency department in the wee hours of January 1st 2015. She was found by a bystander in her skimpy New Years dress confused, laying on the lawn of a stranger’s home. She is rousable to light touch, does not know where she is, Read more…
A 19-year-old motorcyclist is brought in by EMS after losing control of his bike and flying through the air, only to strike a pole with his extended and abducted arm. The helmeted patient, immobilized, is awake, alert and oriented. He complains of pain in his right arm and chest. Physical Read more…