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Outlander Case Report: Penetrating Penile Trauma

In Case Series, Featured by Tessa LadnerLeave a Comment

Case Presentation The year is 1743, and a complicated love story involving two passionate relationships with one woman, Claire, unravels. Her two lovers, Frank Randall and Jamie, find themselves in sword combat, fighting over their one true love. Unfortunately, despite putting up a good fight, Randall finds himself struck in his genitals during the duel. After rushing to the hospital via horse-drawn carriage, Randall presents with a penetrating penile injury to the ED. …

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First Seizure Discharge Instructions: Serving Up The Pizza SLICES!

In Medical Concepts by Michael VerdirameLeave a Comment

It’s a busy night in your emergency department when a 24-year-old confused female is brought in via EMS for a possible first seizure accompanied by her friend.  Her friend reports calling 911 after witnessing the patient fall to the ground stiff and then convulsing for 30 seconds.  The patient is confused and has difficulty answering questions.  From your collateral history, you gather that this confusion has been ongoing since the event.  The patient’s …

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Tiny Tip: WOBBLER as an approach to ECGs for syncope

In Tiny Tips by Garvin LeungLeave a Comment

Syncope makes up approximately 1% of acute care visits in Canadian emergency departments and is a common symptom for a wide range of underlying etiologies.​1​  Identifying any serious underlying condition for syncope and disposition planning is the main area of focus in the emergency department. In addition to a comprehensive history and physical, the 12-lead ECG is a part of the initial evaluation in any patient presenting with syncope. The mnemonic, WOBBLER can …

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Methoxyflurane- an alternative to opioid and NSAID analgesia in the Emergency Department?

In Medical Concepts by Jeremi LaskiLeave a Comment

Introduction Methoxyflurane, also known as Penthrox, is an inhaled analgesic that was first used in the early 1960s for general anaesthesia.​1​ While initially popular, reports of serious side effects including hepatotoxicity and irreversible dose-dependent nephrotoxicity led to its reduced usage as a general anesthetic by the 1970s.​2​ Nevertheless, due to its non-opioid nature and short half-life, methoxyflurane has found new life as a short acting analgesic for moderate to severe pain in several …

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Case Report: The Hangover and the Lateral Canthotomy

In Case Series, Medical Concepts by Maheshver ShunmugamLeave a Comment

Alan Garner is a 38-year-old single, unemployed, Caucasian male, with a medical history of ADHD who has voluntarily arrived at the ED accompanied by friends Stu and Phil after being punched in the face while trespassing. Despite having a poor recollection of the night’s events, Alan and friends are certain that he received a sucker punch by none other than Mike Tyson, the former undisputed world heavyweight boxing champion. Phil informs you that, …