thebluntdissection

pulling apart cases from the ED...

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shrouded shock…

February 28, 2017 By Christopher Partyka Leave a Comment

the case.

46 year old male is bought into your resuscitation bay by local ambulance following a three metre fall from a work platform onto a horizontal metal railing below.

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Filed Under: #FOAM, Cardiology, Critical care, ECG, ECHO, Evidence, Interesting, Trauma, Ultrasound Tagged With: BCI, blunt cardiac injury, cardiac contusion, chest trauma, ECG, ECHO, myocardial contusion, RBBB, shock, thoracic trauma, Trauma, troponin

another bubble of trouble…

January 3, 2017 By Christopher Partyka Leave a Comment

the case.

43 year old female is brought into your resuscitation bay by the paramedics.  She has a 2 day history of vomiting and diarrhoea on the background of type 2 diabetes and alcohol abuse.  Her son is concerned that she has become increasingly confused despite drinking her usual amount of alcohol.

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Filed Under: #FOAM, Acid-Base, Critical care, Infectious Disease, Interesting, Metabolic, Surgery Tagged With: emphysematous pyelonephritis, gas forming organisms, HAGMA, lactate, pyelonephritis

bubble of trouble…

December 11, 2016 By Christopher Partyka Leave a Comment

the case.

76 year old male presents to your Emergency Department via ambulance with right hip pain and a fever of 38.1*C.

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Filed Under: #FOAM, Critical care, Infectious Disease, Surgery, Ultrasound Tagged With: nec fasc, necrotising fasciitis, necrotising soft tissue infection, sacral osteomyelitis, subcutaneous emphysema, ultrasound

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