Tuesday

Critical Cases - Back pain bounceback!

A 55 year old male presents to the ED with complaints of anterior chest pain radiating through to the thoracic area X 2 days...you mentally run through a check list of the potential "red flag" signs/symptoms for serious back pain before you enter the room. Will this be another benign musculoskeletal pain or something more sinister?

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Critical Cases - "I drank this"

A 50 yo male is brought in via EMS vomiting red fluid. 1 hour prior, he had chugged about half a gatorade bottle that he had used to store windshield washer fluid. "What's in windshield washer fluid?" you wonder as you enter the patient's room. "Is it bad????" Read on to find out why, yes, this is very bad indeed.

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Critical Cases - Dizziness and Vomiting - Benign or Catastrophic?

A 59 year old male presents complaining of unsteadiness on his feet and vomiting for 24 hours. You know there are numerous benign explanations for his symptoms, but also realize there are a few "can't miss" diagnoses as well...what are they and how do we assess for them in the ED?

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Critical Cases - T Trach respiratory distress emergency!

A 56 yo male with a hx of TBI, subglottic stenosis, tracheomalacia, and tracheal stenosis presents in acute respiratory distress. There is a strange looking trach in place with no balloon for a cuff. You begin to wonder how you will manage this pt if he ultimately requires mechanical ventilation.....

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Critical Cases - Pericardial effusion!

You are evaluating a patient for abdominal pain the usual way (with a CT of course!) when you discover an incidental pericardial effusion. Quick as a flash you grab your trusty ultrasound and head back to the patient's room, wondering how this effusion got there and what POCUS findings you should be looking for...

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