On examination, he has normal vital signs. He is in no distress, comfortable appearing, but acting shy and withdrawn (appropriate for age). His eyes and conjunctiva are normal, but the eyelids are ectropic. He has moist and otherwise normal oral mucosa. The left otic canal is filled with keratinitic debris and once cleared reveals a normal tympanic membrane. The right ear is normal. The remainder of his skin examination reveals diffuse, whole-body brown plaques which are anchored at the center and peeling at the edges…
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A 30-year-old male without significant past medical history presented as a code blue after high voltage electrocution. The patient was working as a technician servicing high tension wires when he had a witnessed electrocution. Bystander CPR was initiated immediately; EMS arrived shortly thereafter and found the patient pulseless and asystolic. ACLS was initiated and a laryngeal mask airway (LMA) was placed. On arrival in the emergency department, the patient was pulseless and asystolic…
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Emergency department providers are no strangers to the presence of law enforcement officers (LEOs) through the course of their job duties; they are integral to public safety and often hospital safety, conduct criminal investigations, and assist in pre-hospital care. Despite the frequency of law enforcement in U.S. emergency departments, interactions with providers and staff often presents unique challenges. When faced with a patient needing both medical care and involvement of law enforcement, ED providers can face several conflicts of interest…
Read MoreThe human devastation of COVID-19 is without peer…but the economic effects are not close behind. In this episode we discuss how the novel Coronavirus has altered the world’s financial landscape and how to survive the veritable hurricane that is currently ravaging the global economy. Without question, the steps we take now will help us survive into the future (physically and financially). Here to discuss the emerging and ever changing financial reality is Ms. Katherine Vessnes.
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