by Adam Herbstritt38 year old female. Out of hospital arrest. Paramedics on scene within minutes and shocked VF 3 times to ROSC. Intubated in ED for cerebral agitation. Whats your ECG differential for young person collapse? Now interpret his.  Being on the shop floor day in and day out can be quite demanding and challenging. I am one of those people who the more tired I am the neater I want my surroundings. So, when I have been doing clinical work for a few days in a row or perhaps working night shifts, I may be more tired than I want to be. And then it's the little things that start to annoy me... like things that are left on the side, not being put away where it is supposed to go... 
by Adam HerbstrittThis 60 year old Male had developed chest pain over the last month. No prior history of ischaemic heart disease. Episodes were fairly typical for angina. He'd presented to ED for the first time on the 3rd of these episodes, having been abroad on holiday for the previous 2. He was pain free when this ECG was taken.
What do you think? by Adam HerbstrittA 40yr male presents after a high fall off a ladder. With significant tenderness down his left chest into flank he gets a trauma CT, revealing a couple of rib fractures and a moderate left sided pneumothorax.
Discussion with cardiothoracics agrees a plan for admission for observation but no drain. Analgesia is optimised. Is there anything else we should be doing to speed resolution of the pneumo? |
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