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.
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…
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…
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…
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…
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.