An 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
A 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.
The 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.
The 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.
A 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.
In 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.
It was a surprisingly quiet early May morning in a Midwest emergency
department. I was partway through a coffee and enjoying the pace of the
morning when the dreaded squad phone rang. We all got a quick chuckle as
the nurse noted a local squad bringing in a 16-year-old male with a
A 28-year-old emergency physician is bitten by a diamondback rattlesnake
on the right middle finger. He applies a tourniquet and arrives to the
hospital approximately four hours after envenomation.
A 62-year-old woman entered the emergency department (ED) with a chief
complaint of a snake envenomation to the left foot about one hour ago
while hiking in a southwestern mountain trail. She reports the snake was
small and tan and she did not see a rattle. The patient has no medical
problems and states the pain in 2/10 and only present at the left foot.
This 56 year-old homeless, alcoholic male presented to your emergency
department complaining of generalized malaise, diffuse bony aches and a
rash to his lower extremities. The symptoms had been present for 2 weeks
without any fever, chills or known sick contacts, and the rash was
noticed 1 week ago and was progressing.