altThis 29-year-old female presented to the emergency department complaining of feeling weak and dizzy. She admitted to being an IV drug user and believed that someone slipped something into her food several days ago while she had been at a truck stop diner. The patient also stated that she was 10 weeks pregnant and recently restarted on methadone for a “past” heroin addiction.

altA 26-year-old male presented to the emergency department complaining of severe left eye pain and loss of vision to that eye. He explains that while cleaning he dropped a ceramic pot, which shattered, and a piece of shrapnel stuck him in the eye. In addition to his visual complaints, he’s been nauseous, and has vomited several times.

altThe case occurred at the San Antonio Military Medical Center – South Campus (formerly known as Wilford Hall Medical Center) in San Antonio, Texas. At the time of presentation the emergency department was a busy Level II trauma center primarily serving active duty military personnel, military dependents and select civilian personnel.

altA 60-year-old man presents to the emergency department after a syncopal episode. He had been drinking at a bar when he fell off the bar stool, striking his head on the ground. He denied any chest discomfort, shortness of breath, dizziness, palpitations or headache prior to the incident. He came to the hospital only because EMS was called.

altAn assault to the face leaves your patient in need of an emergency lateral canthotomy to relieve the pressure and preserve vision. Here is a step-by-step pictorial guide, in case ophthalmology isn’t immediately available.

altA 52-year-old male presented to the emergency department with four weeks of shortness of breath and right sided chest pain. His symptoms had gradually progressed in severity and were worse with exertion.

altThe Case: A 25-year-old male presented to the emergency department rapid care center complaining of an infection to his left lower extremity. He had a tattoo placed with red and green ink 2 weeks ago, and has noticed progressively worsening redness and pruritis developing, and a nonhealing wound with elements of the tattoo sloughing off.

altThe patient is a 24-year-old male with right hand inflammation and discomfort after punching another human in the mouth 12 hours prior to arrival. Patient had no past medical history and had no other injuries and was without allergies to medication.

altA 16-month-old female presents to your emergency department with her mother after stepping on a bare wire left plugged into a wall. The child has no past medical history and is up to date on all vaccinations.

altIn the February issue of Emergency Physicians Monthly the following reader case file was posed to the group and the question asked how would you respond? What would be your solution? The following is how the case was resolved at the time as well followed by the reader suggestions and comments.

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