Even though we have all (hopefully) been taught that dead snakes can still envenomate people, apparently it hasn't been reported much in the literature. I say this because this case report is in press as of 18 Nov 2016.
A 64 year old male presents with sudden severe epigastic pain radiating to his back. Urgent CTA aorta is performed to assess for aortic dissection. The CT excludes dissection but does not reveal a clear alternate cause either.
A 61 year old woman is reluctantly brought into your Emergency Department by an anxious relative with weight loss and lethargy. She has noticed a mass in her right upper quadrant that has been there for several months.
We’re going to have to talk about the improvised wilderness airway. Improvised Cricothyrotomy on a Mountain Using Hiking Gear.
It's Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 264 - Christmas Edition
I was sent a small ultrasound machine to test. I asked my 8 year old son if I could scan his aorta. This is the scan which sent a ripple through our lives.
Clean water is of utmost importance, whether you’re backcountry hiking, camping, or travelling abroad. Does a handheld UV light work well enough to be safe?
Age: Start or end of shift? Status: Caffeinated. Likes: Chest tubes; Wearing runners to work. Dislikes: Describing CT brains to neurosurgical registrars over the phone. An evening shift at St Anywheres…
A 23 year old woman presents with right sided pelvic pain and vaginal spotting. Her last period was 6 or 7 weeks ago and her urinary BHCG is positive. You perform a transvaginal ultrasound.
Saint’s Triad is the association of hiatal hernia, gallbladder disease, and diverticulosis in patients with atypical abdominal symptoms. Termed by British surgeon Professor Charles Frederick Morris Saint
A 44 year old woman presents with right upper quadrant (RUQ) pain radiating through to her back. She has a fever and is tender on abdominal palpation. She has had several episodes of postprandial RUQ discomfort previously. You wonder if she has gallstones.
Shoulder dislocations. Few procedures are more fulfilling in the emergency department. A little intra-articular lidocaine, some ketamine (always the answer), some propofol, and you’ve nearly instantaneously fixed a painful condition. Thankfully we’ve moved on from the barbaric techniques pictured below.…