Category: EM-Critical Care

Listen to the Bass Go Boom…

The Case: A 20 year-old male h/o DM was found down and unresponsive after a gas explosion downtown with agonal respirations and extensive burns to anterior trunk, right upper extremity and bilateral lower extremities. Vital signs were BP 150/92 HR…

The Critically Ill Tox Patient

The Case 34 year-old woman with past medical history of postpartum cardiomyopathy (EF 15%) with AICD, mechanical mitral valve replacement, and depression was brought in by EMS for non-accidental ingestion of bupropion, furosemide, and warfarin. The dosage, number of tablets,…

Palpitations and Valvular Disease

The Case 58 year-old man with history of mitral valve prolapse presents with 4 days of intermittent palpitations, lightheadedness, and shortness of breath. The symptoms resolve spontaneously. He denies any illicit substance use. Vital signs on arrival: T 97.5F, HR…

Hemorrhagic Shock

The Case 36 YOF PMH GERD, lap band s/p removal 8 months prior BIBEMS for multiple episodes of hematemesis, melena x1, syncope x1. Patient was lethargic upon arrival. BP 70/55 HR 120 RR 22 02 Sat 98% Temp 97.8F. On…

Management of Severe Acidemia

Presented by: Dr. Cassie Thomassin Summarized by: Dr. Yonatan Yohannes Reviewed by: Dr. Ian deSouza, Dr. Wendy Chan   The Fictitious Case A 22 y/o F with PMH insulin-dependent DM and hypothyroidism is brought in by EMS for altered mental…