ALiEM

SEPTEMBER 13, 2024

A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. The patient presented to an outside “eye doctor” and was told to go to the nearest hospital for evaluation.

Emergency Department 161

Emergency Department OR ED 161

EMergucate

SEPTEMBER 13, 2024

The chest x-ray shows medial displacement of the gastric bubble by an enlarged spleen.

EMS 130

EMS 130

EM Literature of Note

SEPTEMBER 13, 2024

Every year, we have our peak of respiratory viruses – traditionally influenza, respiratory syncytial virus, and their accompanying lessor demons. These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources.

Emergency Department 87

Emergency Department ED 87

EMergucate

SEPTEMBER 13, 2024

The pelvic x-ray shows a fracture of the right ilium.

EMS 130

EMS 130

International Journal of Paramedicine

SEPTEMBER 13, 2024

This is a case of profound unstable hyperkalemia encountered in the American pre-hospital 911 setting, with subsequent aggressive treatment and stabilization. Although hyperkalemia may be present in the prehospital setting, it is difficult to diagnose without laboratory testing or a reliable history of illness. It is frequently encountered in the pre-hospital setting, especially in communities with high levels of comorbidities and multiple dialysis centers.

Critical Care 52

Critical Care OR 52

EMergucate

SEPTEMBER 13, 2024

The hand x-ray shows punched out lesions with overhanging margins in the distal IP joints of index & middle fingers.

EMS 130

EMS 130