This is an 81-year-old male on rivaroxaban for atrial fibrillation who suffered a witnessed fall down several steps. On EMS arrival, he was asymptomatic. During transport and his initial ED assessment, he deteriorated, developing worsening encephalopathy and the Cushing reflex. He required anticoag...
A 31 year old male presents unresponsive with agonal respirations. He is hypoxic to the 60s. His history and physical are very suggestive of an opioid toxidrome/overdose.
The patient receives the appropriate antidote therapy with naloxone and there is an expected increase in respiratory rate and and...
A 63-year-old male with a history of hypertension, hyperlipidemia, and BPH presents to the ED for evaluation of 2 days of intermittent right arm numbness and difficulty moving the right arm. Episodes last around 20 to 30 minutes at a time. These episodes have occurred 2-3 times per day. Initial head...
A 57 year old male with no significant PMH presents to the ED after tripping and falling in the bathroom just prior to arrival. He has severe right knee pain and deformity. He states that he had stumbled while walking in the bathroom and landed hard on his right foot with severe knee pain before fal...
A 75 year old female presents to the emergency department via EMS for evaluation following an overdose with reported suicidal ideation and unknown time of ingestion. Per EMS, the patient was last seen well last evening. Just prior to arrival, she was found in her bed by her neighbors with minimal re...
A 50-year-old generally healthy male smoker presents to the ED from hand clinic with atraumatic right index and middle finger pain and color changes for the past 3 days. He initially noticed the symptoms at work this morning. While typing at his desk, he noticed the aforementioned fingers turn blue...
A 20 year old female with no significant past medical or surgical history presents after a large piece of equipment smashed her finger as it fell to the floor while she was at work. She takes no medications and occasionally drinks socially.
Her nails is avulsed with a majority of the nail lifted from...
A 40 year old male is involved in a head on MVC. There was a reported loss of consciousness prior to EMS arrival and a prolonged extrication. There was witnessed syncope in the field. The trauma team is activated prior to arrival. On exam there are no obvious external injuries. The GCS is 15, the ai...
A 50 year old female presents to the ED for a spot in her vision. She woke up with an “ink splotch” in her right eye, located just off the center of her vision. She is sent from urgent care for ophthalmology evaluation. She denies pain, trauma, flashes, and floaters. She endorses intermittent headac...
A 45-year-old generally healthy female presents with 2 days of pain, swelling, redness, and a sensation of tightness around the right index fingertip. She admits to biting her nails often, and notes that her symptoms seemed to develop after she “went after a hangnail pretty aggressively” last week.
