An 18-year-old Sudanese man presents to ED with a penile erection for the last 6 hours. He woke up with an erection at 6 am but was too embarrassed to tell anyone about it.
He decided to come to the hospital when the pain was unbearable.
A 25-year-old man presented to the emergency department after a motorbike accident on the freeway. On the scene, his blood pressure was 90 systolic, HR 110. He is in spinal precaution and is significantly distressed due to pain.
During his assessment, a pelvic X-ray was obtained.
Interpret the X-ray.
Image courtesy- www.healio.com/orthopedics/journals/ortho
A 32-year-old female is brought by ambulance to the ED. She was a driver of a small hatchback car, which was hit by another car on the passenger side on Marmion ave an hour ago. She is 32 weeks pregnant. The patient is in the resuscitation cubicle, with full cardio-respiratory monitoring and spinal immobilization. The hospital trauma call has done by Triage nurses already.
Her Vitals- GCS-15, HR- 130, BP- 90/60, RR- 24, Sats- 99% (6 L/min Oxygen)
On a busy night shift, an ambulance brought a 28-year-old male after a seizure at home. He just arrived in Perth 3 hours ago from Europe. On arrival, his vital signs were as follows-
GCS 14/15
Pulse 132, BP 210/90, SaO2 95% on R/A, Temp 38.2, RR 24
BSL 8.9
On a busy night shift, the medical emergency alarm went off in the EAU area. A 33-year-old lady who was receiving the first unit of PRBC for her anemia complicated by the menorrhagia, feeling very unwell and dizzy.
Vitals- HR120, BP- 80/50, RR- 36, Temp-39
Handover at 0800- 53-year-old Indian presenting to hospital with severe neck pain. History is difficult to attain because of the language barrier. The night RMO has sent some blood and gave her some analgesics, including a 5 mg tablet of Oxycodone.
The RMO thinks the patient will need further assessment.
You are about to see an 8-year-old boy who represented with right-sided abdominal pain with nausea and vomiting. He presented a day before with similar symptoms and was seen by an RMO and discharged home with some analgesics.
Time- 0100
A 55-year-old man brought in by ambulance with a history of hematemesis.
His initial vitals are-
GCS15, Pulse- 125, BP- 110/70, Sats- 97%, Temp- 36.5
Time- 2100 (Cold winter night)
Priority 1 call
A 3-year-old boy, Jack was found face down in the bathtub at home. PEA arrest on scene.
ETA 5 minutes
Time- 0200
A 51-year-old male with a history of diabetes and hypertension presented to the hospital with left facial droop, slurred speech, and left-sided hemiparesis. His initial CT scan was negative for acute hemorrhage. As he has no contraindication for thrombolysis the stroke team decided to treat him with tPA.
After the infusion finished patient developed left-sided facial swelling.