“EMS called with a pediatric code in progress from a house fire, approximately 5 minutes out. A 2-year-old female with unknown past medical history was brought in with CPR in progress. History was limited as there was no family with the patient. Per EMS, firefighters were called to scene of a house fire and the patient and her sister were found in an upstairs bedroom, both unresponsive and pulseless…”
Read MoreAn unknown age male, estimated 30 years old, is brought into the emergency department by emergency medical services in cardiac arrest. He was found unresponsive on a park bench outside on a cold night. When EMS arrived he was noted to be very cold with no palpable pulse, spontaneous respirations, or response to sternal rub. A supraglottic airway was placed but they were unable to establish IV access. They performed 30 minutes of chest compressions and brought him to the emergency department on a LUCAS device…
Read More…On arrival she is anxious, agitated, and demonstrates mood lability (alternating between laughing, crying, and screaming). Her physical exam is notable for tachycardia with a heart rate of approximately 100 bpm…
Read More…Approximately 24 hours after the initial fracture, while in the operating room for right hip hemi-arthroplasty complicated by an iatrogenic fracture, he became hypotensive and hypoxemic…
Read MoreBy: Russell Prichard MD and Melanie Lippman MD
The patient is a 52 year-old female with a past medical history of hypertension, hyperlipidemia, hypothyroidism, and a 2 pack a day smoking history who presented to the emergency department in respiratory distress.
When EMS arrived to the patient’s home, she was hypoxemic with a pulse oximetry reading of 70s on room air and hypotensive with systolic blood pressures in the 80s. She was placed on nasal cannula with improvement in her saturations and she was given aspirin, fentanyl, and nitroglycerin without relief.
Upon arrival her vitals were significant for respiratory rate of 34, pulse oximetry of 98% on 6L NC. She was noted to be in acute distress.
The patient was placed on positive pressure ventilation via BiPAP and broad blood work, chest X-ray and electrocardiogram (ECG) were obtained.
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