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Oral Airway Insertion
Oral Airways or OPAs are airway adjuncts inserted into an unconscious or minimally responsive patient’s mouth. This is done to maintain airway patency by preventing the tongue from covering the epiglottis.
Domestic Violence Assessment
Lily is married to Paul and has two small children. On a visit to her doctor, she had indicated being in a domestic violence relationship. Lily does not want her abusive relationship to affect them.
Lateral Canthotomy
Marvin Jones, 21-years-old, was involved in a motor vehicle collision. He has suffered blunt force and facial injuries. You need to check the IOP using a tonometer, and if required, perform a lateral canthotomy.
Crashing on a Ventilator
This unconscious patient has recently been intubated and is on ventilator. You suddenly notice his blood pressure and oxygen level plummeting. You need to act fast as the patient is crashing on the ventilator.
Beta Blocker Toxicity
Shawn, a 50-year-old male, has impulsively taken the entire bottle of metoprolol. The estimated ingestion is of 100 x 50 mg tablets (5000 mg) approximately 45 minutes prior to presentation.
Massive Hemoptysis
Akito Tanaka, a 63-year-old male, is brought into the emergency department with symptoms consistent with COPD exacerbation. He has a former smoking history, COPD on home O2, and is on anticoagulation for atrial fibrillation.
Aortic Dissection
Antonio Garcia, 49 years old, and has chest pain and abdominal pain. Symptoms started 2 hours ago with abdominal pain that was sudden in onset, diffuse, crampy, 10 on 10. This then travelled up into his chest.
MVC with Tension Pneumothorax
James Anderson, 40 years old, was the driver in a single vehicle collision at highway speed. He has an obvious open fracture of his left forearm and decreased air entry to the right of his chest.
Anaphylaxis
Kevin Shaw, 65-year-old, has developed a rash and nausea shortly after starting an IV dose of tazocin. Kevin was admitted for treatment of a diabetic foot infection that has been progressing despite oral antibiotics.