In Syria's Idlib area, @DrsWithoutBorders runs a 15-bed hosp | Figure 1

DrsWithoutBorders

In Syria's Idlib area, @DrsWithoutBorders runs a 15-bed hospital dedicated to treating burn patients. The treatment requires debridements, dressing changes done in the operating room under anesthesia, skin grafts and physiotherapy sessions. However, MSF's medical facilities have been under relentless attack in Syria. According to a February 2016 report, 63 MSF-supported hospitals and clinics were bombed or shelled on 94 separate occasions in 2015, destroying 12 facilities and killing 23 staff members. The most recent attack was an airstrike in April 2016 on an Aleppo hospital. (Photo: © MSF)

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At the @DoctorsWithoutBorders Dasht-e-Barchi hospital in Afghanistan, a premature baby is treated for jaundice under phototherapy lights. Infant jaundice — a yellow discoloration in a newborn baby's skin and eyes — is a complication that can affect newborns, but can be treated by exposure to ultraviolet light under a phototherapy lamp. Since November 2014, MSF has been running a specialized maternity department dedicated to emergency obstetric care, neonatal services and complicated deliveries in the hospital. The facility serves a population of more than 1.3 million in western Kabul.

A @DrsWithoutBorders surgeon performs a foot surgery at MSF´s Al Salamah hospital in northern Syria. The 52-bed hospital includes an ER, an operating theatre, maternity care, and outpatient/inpatient services. It is the largest directly run MSF facility still inside Syria, managed by nearly 150 Syrian staff. The district has an estimated 100,000 people trapped in the area between shifting front lines and the closed Turkish border. After being forced to close when hostilities came too close, the hospital has reopened for emergency cases and surgeries.

A young boy has his wounds drained by @DrsWithoutBorders staff in east Aleppo, Syria. Embedded shrapnel has caused severe neurological lesions resulting in complete loss of awareness and epileptic seizures. As the battle for Aleppo enters a new phase, MSF reminds all sides of the rules of war under international humanitarian law. “All parties must allow people to flee to safety, allow the evacuation of sick and wounded, and facilitate the provision of protection and humanitarian assistance to those that are caught on the front lines,” says Teresa Sancristoval, head of MSF’s emergency unit.

@DrsWithoutBorder medical staff provide emergency treatment to patients and wounded colleagues in an improvised area of MSF's trauma centre in Kunduz, Afghanistan, hours after warplanes launched a missile attack on the hospital that killed 42 people, including doctors and patients. The Geneva Conventions call for the protection of medical action in conflict zones, but in the year since the Kunduz assault, military forces have launched an unprecedented number of attacks against hospitals in places like Syria and Yemen.

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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?