shrouded shock…
the case. 46 year old male is bought into your resuscitation bay by local ambulance following a three metre fall from a work platform onto a horizontal metal railing below.
Category ECHO
an insidious intruder…
the case. 28 year old male presents to your tertiary emergency department with chest pain, exertional dyspnoea and left calf pain.
going the wrong way…
the case. 56 year old male presents to ED with dyspnoea, cough and small-volume haemoptysis.
FALLS protocol…
Below is the main content discussed at an ultrasound workshop I ran this week at the Sydney HEMS Clinical Governance Day.
part man, part machine…
the case. 48 year old male is bought to the Emergency Department via ambulance following a syncopal episode. They are unable to obtain a blood pressure & describe ‘some sort of device coming out of his chest’ !!
two in two days…
I have recently prepared a lecture on a current, yet still controversial topic for work following exposure to these two interesting cases. Here are the cases & their discussion as well as the slide-show attached…
chest pain and…
the case. a 41 year old male presents with sudden severe retrosternal chest pain radiating into the right flank. He also reports 3-4 weeks of intermittent chest tightness & that his doctor told him he “may need a heart valve…
sequential sinister sightings…
the case. a 68 year old male presents to ED with left-sided pleuritic chest pain & shortness of breath. He is tachycardic, but normotensive (142 systolic) with room air saturations of 93%.
shock and awe…
the case. Previously well 64 year male presents to ED with 90 minutes of retrosternal chest pain after riding his bike. This is his ECG….
a game changer…
The case. A 76 year old female presents to ED after being repeated assaulted by her aggressive, demented husband, including punches, kicks and attempted strangulation. She has a past medical history of hypertension & GORD and takes telmisartan, amlodipine &…
shades of grey…
A few days ago I was looking after a 31/40 gestation restrained passenger from low-speed MVA with a slight seatbelt abrasion in her RIF & mild suprapubic pain. She looked well, HR 70 with BP 108 systolic and no features…
more than man-flu (part2)…
Here is the follow-up to the story of our 19 year old febrile patient….. The case continues… His CXR demonstrates the following …. Clear lung fields No pneumonia No CCF is that a ‘globular heart’ ?? This is his ECG……