Gastrointestinal 9-1 Thermal Esophageal Injury Michael Greenberg Clinical Presentation Patients with thermal esophageal injury (TEI) present with odynophagia, dysphagia, and retrosternal chest pain minutes to hours after swallowing excessively hot…
Cardiovascular 7-1 Acute Myocardial Infarction Ralph Weiche Clinical Presentation Patients with acute myocardial infarction (AMI) present with chest discomfort, tightness, pressure, or a “squeezing sensation” located over the anterior chest….
Respiratory 8-1 Asthma Robert Hendrickson Clinical Presentation Patients with mild asthma exacerbations may present with cough, dyspnea, or pleuritic chest pain. Less commonly, patients present in extremis with symptoms developing…
Ear, Nose, and Throat 5-1 Sinusitis Matthew Spencer Clinical Presentation Acute sinusitis consists of persistent purulent nasal discharge, cough, unilateral facial pain and fullness, fever, nasal congestion, maxillary or periorbital…
Ophthalmologic 4-1 Corneal Abrasion Anthony S. Mazzeo Clinical Presentation Patients with corneal abrasion (CA) present with eye pain, tearing, foreign body sensation, photophobia, blurry vision, and, occasionally, headache. Pathophysiology Any…
Neurologic 3-1 Intracranial Hemorrhage Allon Amitai Clinical Presentation Patients with intracranial hemorrhage (ICH) typically present with headache, nausea, and vomiting, with or without focal neurologic deficits. Onset of ICH is…
Airway, Breathing, Circulation 1-1 Normal Airway Arun Nagdev Anatomically, the upper airway begins at the nares and continues to the proximal aspect of the trachea. Clinical Presentation Patients with an…
Emergency Medical Services and Pre-Hospital Care 2-1 Vehicular Rollover Gerald Wydro Of the five types of vehicle collisions—head-on, T-bone, rear-ended, rotational impact, and rollover—rollover has the greatest mechanistic potential for…
Trauma Procedures in the Emergency Department Rahim Valani MD, CCFP-EM, FRCPC, PG Dip Med Ed INTRAOSSEOUS (IO) ACCESS1, 2, 3, 4 and 5 (FIG. 21-1) Immediate and urgent vascular access…
