A Mortal Battle with Four Hour Medicine
The unexpected collides with 4 hour rule in the natural laboratory for error that is the emergency department... Act 1: The Existential Installment and Act 2: The Clinical Section...WITH a cliffhanger.
Category Clinical Cases
LITFL Clinical Case Collection. Over 250 Q&A style clinical cases to assist Just in Time Learning and Life Long Learning. Cases are categorised by specialty and can be searched by keyword from the database table
Are you Satisficed?
Review these chest radiographs of an ICU patient with respiratory deterioration. What has been missed? What cognitive bias contributed to the error?
Entrapped
You are handed over a patient by a colleague (that's a 'handoff' to you Yanks)... He says he would usually send a patient like this home, but as the d-dimer is pending he suggests the patient should wait for the result.
Hyperkalaemia Clinical Case
George is a 72 year old male found collapsed at home on floor of his bedroom, incontinent of urine and faeces. He complained of significant pain in his right hip with shortening and rotation.
Pulmonary Embolus pondering
A 52 year old bricklayer is transferred from another hospital with an acute episode of dizziness, palpitations and tachycardia. 2 days prior, he had bilateral total knee replacements for osteoarthritis.
Meow-Meow Mephedrone
Mephedrone is a new stimulant drug being abused on the street, and has recently been discovered in Australia. The following review provides emergency clinicians with assessing managing patients under the influence of mephedrone.
I’m Just Trying To Get Clean Bro’
Muttered shadows pervade the lugubrious intermission chamber with a festive rainbow of illicit degustations. Red tablets, green pills, yellow capsules, white poppers, purple hum-dingers and now…pure bath salts.
Rorschach Test Revealed
Last week's Rorschach test is revealed for what it is, and a new F.UCEM is inducted into the hall of infamy.
Pulmonary Oedema Case 1
It is 8am and a 72 year old male is brought in by the paramedics. The patient is sitting upright, sweaty, and in severe respiratory distress.
Own the Oxygen!
Keeping your patient oxygenated during rapid sequence intubation has never been easier - with Own the Oxygen
Tyrian rage
Purple Urine: Usually alkaline urine with degradation of indoxyl sulfate (indican), dietary tryptophan metabolite, into indigo (blue) and indirubin (red)
Mahogany Myoglobinuria
A 72 year old female is admitted following an emergency abdominal aortic aneurysm repair. Explain the biochemical results and brown urine