Blunt Intestinal Injury
BLUNT INTESTINAL INJURY BRAD OLBERDING & ARA J. FEINSTEIN CASE SCENARIO A 47-year-old woman is the restrained driver in a high-speed motor vehicle crash. She has a prolonged extrication time…
EMERGENCY MEDICINE
Esophageal Perforation
ESOPHAGEAL PERFORATION ASHOK MUNIAPPAN CASE SCENARIO A 61-year-old woman with a history of Roux-en-y gastric bypass for morbid obesity presents with dysphagia and vomiting. She undergoes esophagogastroscopy at an outside…
Pancreatitis
PANCREATITIS PETER J. FAGENHOLZ CASE SCENARIO A 54-year-old man with no past medical history presents to the emergency department with 24 hours of abdominal pain. The pain started the day…
Cardiac Tamponade
CARDIAC TAMPONADE LEE HALLAGAN & ALOK GUPTA CASE SCENARIO A 22-year-old man is brought to the emergency department (ED) after an altercation in which he was stabbed in the left…
Ultrasound: Basics
ULTRASOUND: BASICS ABTAHI SEYED MAHDI, SANDEEP HEDGIRE, RACHEL BORCZUK, AZADEH ELMI, & MUKESH HARISINGHANI ESSENTIAL CONCEPTS Ultrasound imaging uses the pulse-echo principle in which a short burst of sound waves…
Necrotizing Soft Tissue Infection
NECROTIZING SOFT TISSUE INFECTION DAVID FINK & MARC DEMOYA CASE SCENARIO A 53-year-old obese man presents to the emergency department complaining of one day of progressive pain and swelling of…
Wide QRS Complex Tachycardia in the Emergency Setting
Fig. 6.1 Diagrams (a, b) show two wide QRS complex tachycardias. In both diagrams, small positive deflections, independent of QRS complexes, are present. In diagram (a) these deflections are rhythmic…
Atrial Flutter and Fibrillation in the Emergency Setting
Fig. 5.1 Atrial fibrillation with moderately fast ventricular response (about 100 bpm). RR intervals are irregular and coarse F waves are visible European (ESC 2010) [4] and US (AHA/ACC/HRS 2014)…
Supraventricular Arrhythmias in Emergency
Fig. 4.1 ECG in normal sinus rhythm; with usual setting (paper speed 25 mm/s) 1 mm equals with 40 ms interval Each QRS complex is preceded by a P wave…
Pacemaker Malfunction: Myth or Reality?
Fig. 11.1 Top panel (a). DDD pacemaker. Atrial rhythm is paced at 60 bpm. Spontaneous QRS with right bundle branch morphology occurs after 180 ms that inhibits ventricular pacing. This…
