a covert combination…
the case. 72 year old male presents to your Emergency Department with a 4-5 hour history of palpitations. He appears well and has no associated symptoms.
Category FOAM
FOAM, a deontological ethos
Michael Jasumback, arch-Devil's Advocate of FOAM, is back. He sent us this essay, in pure violation of the recommendation not to drink and write, and it would be remiss of it not to share it with the world.
going the wrong way…
the case. 56 year old male presents to ED with dyspnoea, cough and small-volume haemoptysis.
Mind the gap…
the case. a 29-year old female with a past history of anorexia nervosa, polycystic ovarian syndrome, chronic back pain and analgesic abuse presents to the Emergency Department. She describes 3 days of bilateral ankle and facial swelling. She tells you…
FALLS protocol…
Below is the main content discussed at an ultrasound workshop I ran this week at the Sydney HEMS Clinical Governance Day.
knee without improvement…
the case. a 64 year old type-II diabetic presents to ED at 3am with ongoing severe knee pain & fevers.
faster than most…
the case. a 34 year old man presents to ED with chest pain & palpitations. His symptoms came on suddenly whilst doing light exercises at the gym.
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…
pupils predict pathology…
the case. A 34 year old male is bought to your ED with reduced level of consciousness. He was at a restaurant having dinner with family & friends when he excused himself to use the bathroom. They found him 15 minutes later…
the unveiling…
the case. a 64 year old female presents to your Emergency Department at midnight with acute severe abdominal pain.
back with a vengeance…
the case. a 59 year old male presents to ED at 2am with a two week history of progressive back pain. He is worried because it is worsening in severity and now radiates to the left flank & left-lower quadrant.