Local paramedics respond to a call for an unresponsive teenager…
You are taking medical command when you receive a call from an ALS unit. They are picking up a 33 y/o male with unknown medical history from the beach for a witnessed seizure and confusion. The patient's friend states they were diving at a nearby shipwreck when they encountered a shark, causing the pair to swim to the surface as quickly as possible. While on the boat, the friend noted the patient was acting strangely with slurred speech.
A 25 y/o male with a history of Type 1 Diabetes presents with acute right shoulder pain.
Check out this great post from Dr. Michelle Lin from ALiEM about ABEM Oral Board Preparation including a video series from the University of Maryland Department of Emergency Medicine!
While most patients presenting to the Emergency Department live in the immediate region surrounding the hospital, modern day travel allows patients to have recent exposures from the far reaches of the globe. One particular zoonotic infection, B Virus, carries a 70% mortality rate if not treated promptly. This post aims to introduce the B Virus and summarize the "need-to-know" as a practicing Emergency Physician: