A 39 year old previously well female presents to your ED with a 3 day history of abdominal pain and diarrhoea.
Vital Signs:
BP 100/60
PR 110/min
RR 26/min
A 39 year old previously well female presents to your ED with a 3 day history of abdominal pain and diarrhoea.
Vital Signs:
BP 100/60
PR 110/min
RR 26/min
Issues:
1. Critically unwell patient with septic shock
Source – Respiratory, other
2. Breast Cancer
Is patient on Chemotherapy – consider febrile Neutropaenia
Is there metastatic disease Continue reading
A 35 year old man with significant COHb level of 28.5%, altered level of consciousness (?other co ingestions), elevated lactate indicating severe carbon monoxide poisoning in the context of an attempted suicide. Continue reading
A 35 year old man is brought to your Emergency Department by ambulance following a suicide attempt. His wife found him in his car with the engine running at 7.30 am, he had connected a hose from his exhaust into the car. He was last seen at 7 am that same morning.
On examination :
GCS 14
BP 150/90
PR 99/min
Sats 97 – NP 4litres
Describe and Interpret his ABG ( after 5 minutes of 15 litres oxygen via non rebreather) Continue reading
A 28 year old man presents to your Emergency Department with epigastric pain.
Describe and Interpret his ABG on room air Continue reading
A 60 year old man is brought to your ED from a burning factory. He was found uncoscious in the building.
His Observations:
PR 115/min
BP 100/60
RR 8/min, O2 sats 99, on 15litres non rebreather
GCS 6
Describe and Interpret his ABG Continue reading
50 year old with MND: Continue reading
50 year old man with Motor Neuron Disease presents with acute onset of thoracic back pain.
Vitals :
BP 230/130
PR 120/min
Profuse sweating
GCS 11
Describe and Interpret the following blood gas: Continue reading