A review of bread and butter Emergency Medicine topics
Made up Case: 70 yo ESRD (LUE fistua, MWF, last yesterday), HTN, DM, severe COPD presents peds struck by semi: Airway, Breathing, Circulation initially intact, IV/O2/Monitor placed 102, 150/60, 28, 93% on RA Secondary survey neg except for pan-right sided pain. CXR/pelvis X-Ray unremarkable. Pan-Scan (come on, 70 and hit Read more…
Male hipster presents – bicyclist struck. He is 22 years old, lives in Williamsburg, and arrives wearing really tight pants and an ironic mustache. He reports pelvic pain and reports he fell off the seat onto his handlebars. He reports feeling “devo” about how “totes hard” he hit his groin Read more…
A 22-month-old boy presents to the ED with his parents following 4 days of vomiting and diarrhea. The parents report that the child has not been playful and has had decreased wet diapers. The mother reports that the child is drinking small amounts, but is vomiting 4-5 times per day. Read more…
60 yo M, unrestrained driver in MVA, no airbags, no LOC, no head trauma, complaining of chest pain – midline, reproducible to palpation, worse on moving. VS 120, 96/47, 22, 100% Trauma labs are sent, portable CXR and Pelvis Xray are unremarkable. Let’s say his hypothetical pan-scan is normal. Read more…
A young man was standing on the corner, minding his own business, on his way to church, when he… EMS reports + LOC with 2 episodes of vomiting after, and amnesia of the entire event. He is still perseverating and unable to comply with a complete neurologic exam. You are Read more…
A brand-new CCT senior is notified by EMS triage, the attending, the bat phone, his junior, the nurse, the PCA and the stocking people that he should probably intubate his patient- the 38-year-old patient with sickle cell disease with ESRD on hemodialysis who presents weird and vomiting and is found Read more…
A six-foot-two blond transvestite in size 12, 4-inch Jimmy Choo’s is walking in the mermaid parade when all of a sudden she inverts her ankle and falls to the ground. Graciously she is helped back to her feet by surrounding mermaids and toe-hobbles to the corner. The ankle is swollen Read more…
A sweaty summertime letter carrier proceeds through his route delivering mail. On his way back to the post office he notices a white powder on his shorts. Confused as to whether this is the generous sprinkling of Gold Bond he used earlier to ensure his dryness or something more sinister, Read more…
A stringy-haired pimply teenager in a long trench-coat was found in his room listening to death metal, in a puddle of vomit, having had urinary and fecal incontinence. En route to your hospital he begins to seize. The paramedics who bring him begin to have teary-eyes, vomiting and diarrhea. The Read more…
A 23-year-old female, completely entranced by 4th of July fireworks ducks the barrier and gets a little too close to the excitement. While ashing her cigarette next to a giant box labelled “explosives,” she hears a loud noise and is promptly thrown through the air, landing 25 feet away, injured. Read more…