UOTW #74

This is a 50 year old female who presents with sudden onset retrosternal chest pain that began just after she heard of her sister’s death. Pain has been continuous for 2 hours, it is a dull ache. Vitals stable. Initial and 2 hour ECGs/troponins are shown, along with a bedside echocardiogram.

UOTW #67

27 year old female brought in by ambulance after a high speed MVC. Vitals show a BP of 80 systolic and a heart rate of 140. There is evidence of significant chest trauma. Abdominal FAST is negative for free fluid. A subcostal view shows the following image:

UOTW #54

This patient is a 28 year old male who was brought to you by EMS after he was found lying unconscious in his apartment by his family. The only medical history known by EMS is the patient was recently admitted for severe pancreatitis and has an indwelling PICC line in his LUE. EMS found the […]

UOTW #48

The patient is a 56 year old man who was brought in via EMS for severe respiratory distress. He is sitting straight up in bed, tripoding, diaphoretic with dinner plate eyes. The patient is able to convey that he thinks he might die. He was given one albuterol/atrovent nebulizer per EMS without relief. The patient […]