Be warned: this case report contains spoilers for Game of Thrones Season 5 and 6. Patient Presentation and History A 21-year-old man, by the name of Lord Commander Jon Snow, was discovered unconscious and unresponsive after receiving multiple stab wounds to the chest and abdomen. He was found lying supine in freezing temperature and presumed to be hypothermic. Allegedly, he was ambushed at Castle Black earlier that night by a group of subordinates who …
CRACKCast E102 – Seizures
View PostSpot the Diagnosis! The case of the Pale Woman
As part of the Arts PRN series, we will intermittently be featuring pieces of historic art that hint at an underlying medical condition. They say a picture is worth 1000 words… can you Spot the Diagnosis after examining only a painting? Read on to learn not only about the art, but about these fascinating medical conditions. Who knows, maybe they’ll help you make a diagnosis some day (or at least help you out …
Tiny Tip: SCALP for the Layers of the Scalp
At some point during clinical teaching in emergency medicine, someone is likely to ask you about the layers of the scalp, and Rosen’s provides a helpful mnemonic for remembering them1: S – skin C – connective tissue A – aponeurosis L – loose areolar tissue P – periosteum You may be asking yourself why you would need to know about the layers of the scalp. Isn’t this just the sort of trivia you …
CRACKCast E101 – Stroke
View PostMy Heart Goes Boom… ß-Blockers in Cardiac Arrest
A 52-year-old male presents with chest pain. He arrests upon arrival to the Emergency Department and is found to be in ventricular fibrillation. You provide good CPR and defibrillate the patient, and treat him with doses of epinephrine and amiodarone in keeping with the ACLS algorithms. The patient continues to be in ventricular fibrillation despite even trying dual-sequential defibrillation and you are running out of other options for treatment. Should ß-Blockers be tried …