In a busy night shift, a 42-year-old man was brought in by police after found in the train station agitated. He is still in the police van and very uncooperative.
The shift coordinator wants you to assess the patient.
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.
You are about to see 2 brothers in the pediatric area, one 2 and another one 4-year-old. They were brought in by their mother, who is concerned that they may have had some of her iron tablets 1 hour ago at home. She pulled out at least 4-5 tablets from the younger one’s mouth.
According to the mother, there were 30 tablets in the bottle, with 105mg elemental iron in each tablet.
A 5-year-old boy represented to the emergency with his mother at 11 pm after a head injury earlier in the afternoon. He vomited twice so far and bit drowsy as per mom. He was seen in ED 2 hours ago and discharged with head injury advice.
A 23-year girl was brought in ED by her mother in a wheelchair as she is refusing to walk. She is known to have borderline personality disorder and had multiple presentations before, with behavioral issues. During triage, she refused to talk to the nurse and kept her eyes shut.
Case-
A 72-year male, a retired car mechanic, presented to ED by ambulance at 0100 hours. He was found slumped over in his garage area, obtunded.
His initial vitals were- BP 100/60, HR 90, RR 19, Sats-94%, and BSL 15.
He takes an antihypertensive, a beta-blocker, insulin.