spontaneous tension pneumothorax. Second image is after ches | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Spontaneous tension pneumothorax

Why you should join Figure 1

Similar cases

21yo male was rushed to the trauma bay with GSWx5. He was taken for emergency laparotomy where we discovered a small bowel injury in addition to a penetrating wound to the left kidney. The bullet blasted through the lower pole and was repaired primarily with surgicell to fill the gap. Hopefully it holds.

as part of a regional trauma conference, we (a voluntary ambulance service) worked in conjunction with the police, fire service and critical care paramedics to demonstrate scene and casualty management at a simulated 5-car pile-up with 13 casualties ranging in severity. There were several time-outs for students and delegates to enter the scene and question emergency staff on their management and next steps. It was also great practice for the emergency services personnel! How often do you get to use casualty simulation to hone your skills (either pre-hospital or in hospital)?

Femoral hernia. 26 YO female patient.

25yrs/M after consuming alcohol crossed the road without looking and was knocked down by speeding bike, H/o LOC and vomiting since then. GCS -10 upon arrival intubated and resuscitated in emergency
Vitals
BP -120/80, HR -110, Spo2 -98%, RR -32
Physical Examination
Multiple laceration wounds stapled and dressed, GCS - M4V4E2, Pupils - B/l 4mm RTL
Diagnosis
DIAGNOSIS?
Management
PLAN?

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ECG that would warrant further work-up or is this just a pediatric ECG?