the case. 48 year old male is bought to the Emergency Department via ambulance following a syncopal episode. They are unable to obtain a blood pressure & describe ‘some sort of device coming out of his chest’ !!
I have recently prepared a lecture on a current, yet still controversial topic for work following exposure to these two interesting cases. Here are the cases & their discussion as well as the slide-show attached…
the case. an 84 year old man is bought to your emergency department following a 3 metre fall from a ladder. He has landed on his right-hand side & is complaining of severe bilateral chest & flank pain.
the case. A 34 year old male is bought to your ED with reduced level of consciousness. He was at a restaurant having dinner with family & friends when he excused himself to use the bathroom. They found him 15 minutes later slumped near the toilet – unconscious and barely breathing.
the case. a 41 year old male presents with sudden severe retrosternal chest pain radiating into the right flank. He also reports 3-4 weeks of intermittent chest tightness & that his doctor told him he “may need a heart valve fixed one day”.