high speed lvl 1 MVA brain matter visible under packing, rec | Figure 1

BoringRN

Registered Nurse

high speed lvl 1 MVA brain matter visible under packing, reconstructive surgery and CT to follow.

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Sad case of peds vs auto. 5 yo boy presented to trauma bay apneic with GCS of 8 and fixed dilated right pupil after being struck by a pick up truck. He was crossing the street with a parent when they both were hit, resulting in one of the rear tires rolling over patient's head. Head CT showed multiple skull fractures with underlying parenchymal contusions. He was intubated and admitted to the PICU, developing subsequent acidosis and hemodynamics instability, requiring epi to maintain MAPs above 60. Seen by Ophtho and Plastics before being transferred to another facility #Skull-fracture

Alleged mva. Motorbike vs timber trailer. Polytrauma. Major crush injury and intraabdominal injury.

40yrs old male fire arm injury to the neck.How to manage???

A nurse treats a patient who was severely burned in an explosion at the @DrsWithoutBorders Drouillard hospital for burn patients in Port-au-Prince, Haiti. This hospital is the only specialized centre in the country to focus on the treatment of severe burns – a widespread problem often linked to the dire living conditions of destitute Haitians. Around half of the patients seen in this hospital are children under the age of five who have been injured in domestic accidents. Treatment includes surgery, dressings, pain management, physiotherapy, psychological care and infection control. In 2017 alone, @DrsWithoutBorders teams conducted 1,305 emergency room visits and admitted 694 patients.

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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 ekg that would warrant further work-up or is this just a pediatric ekg?