Doc… I’m drowning!

You are called to triage to assess a man for shortness of breath. Per EMS, this is a 46 year old male with a history of substance abuse and HTN, found by his wife this afternoon, overdosed on Heroin and barely breathing. EMS arrived on scen…

Turn down the volume

On your busy resus shift you receive a EMS notification that a post arrest patient is en route, ETA 2 minutes. On arrival the patient is being actively bagged by EMS through an endotracheal tube placed in the field. He is hypotensive to 83/…

Rural Pearl- Unprovoked

  Rural Pearl- First time seizure You are back for you solo overnight shift at Rural General Hospital.  At 2 am a new patient comes in with his fiance.  He is a 25 year old male and the fiance says the patient had a “shaking episodes”…

52 in 52

The 52 in 52 Review:  The International Registry of Acute Aortic Dissection (IRAD) New Insights Into an Old Disease. Article Citation: Hagan PG et al. The International Registry of Acute Aortic Dissection (IRAD)New Insights Into an Old Dise…

Rural Pearl- Precipitous Delivery

You are once again working your solo overnight shift and Rural General Stand Alone Hospital.  In the door walks a 33 yo G6P5 female with abdominal cramping who is 35 weeks pregnant.  The labor and delivery service recently closed down and a…

Rustic Rural Pearl

You are working at Rural General Hospital, solo coverage overnight     Patient is a 35yo male with no past medical history presents to the ED from home with the complaint of “something in my eye”, he reports blurry vision and seve…

May 2017