Case: A 41-year-old male with rheumatoid arthritis, depression and polysubstance abuse is brought to an urban emergency department after being found unresponsive at home. In the field, paramedics administered 2mg of nebulized naloxone and the patient became more alert. Per the patient’s spouse, they had been injecting “crocodile” all week.
Paramedics present to an urban emergency department with a middle aged
man found unresponsive in a nearby alley. The paramedics were unable to
obtain IV access due to years of drug abuse and overall poor venous
A 31-year-old African American male without any significant medical
history presented to the emergency department with complaints of left
arm pain, vomiting, and dark urine. One week prior to his presentation,
he felt a sudden burning sensation to his arm and then developed
redness, swelling, and pain.
A 48-year-old male presents to the emergency department complaining of
bilateral hand numbness and tingling over the past few months. The
patient has also noticed a mild swelling of bilateral lower extremities,
worse at the end of the day and improved with leg elevation. He has no
significant past medical history and takes no medications.
The patient is a 38-year-old African American male with a past medical
history of schizoaffective and bipolar disorder who presented to the ED
with altered mental status and chest pain. The patient had been issued a
day / evening pass to leave the psychiatric facility where he currently
resides and spent the evening at home with family.