don’t jump the gun…
the case. an elderly male is bought to ED following a high-speed motor vehicle accident having driven his car into a tree at ~100 km He is complaining of severe chest pain & trouble breathing.
Category Medical Specialty
R&R In The FASTLANE 035
Research and Reviews in the FastLane: where experts worldwide tell us what they think is worth reading from the emergency medicine and critical care literature.
the long way round…
the case. a 52 year old male presents to your Emergency Department with more than 24 hours of typical sounding, retrosternal chest pain.
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.
eye for an eye…
the case. an elderly female arrives to your ED with facial swelling and extensive bruising after a fall where she struck the left-side of her face on a concrete step. She is on warfarin for atrial fibrillation, but has not…
a whack to the flank….
the case. an 84 year old man is bought to your emergency department following a 3 metre fall from a ladder. He has landed on his right-hand side & is complaining of severe bilateral chest & flank pain.
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…
having a dig…
the case. 87 year old female presents to your ED following an intentional overdose. She tells you that approximately 4 hours ago she ingested ‘most of [her] digoxin tablets’ that she bought earlier in the afternoon.
le(a)d astray…
the case. a 66 year old male is referred to your ED with recurrent bouts of dizziness over the past 2-3 weeks.
the unveiling…
the case. a 64 year old female presents to your Emergency Department at midnight with acute severe abdominal pain.
peas in a pod….
the case. an 81 year old male is referred by his GP for ongoing tachycardia & progressive hypotension. He has been gradually taken off his antihypertensives (telmisartan & prazosin) over the past 2-3 weeks as his BP has consistently been 80-90mmHg…