draining a subungal hematoma, almost 0.3 mL drained | Figure 1

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Emergency Medicine

Draining a subungal hematoma, almost 0.3 mL drained

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An inmate with an abscess drained in jail. From the bottom to top incisions is about 5". Placed two vessel loops since there was so much tunneling. If you don't use vessel loops and instead are still using packing in your clinic, you're making it harder on you and your patients.


Electrical injury. First two pictures are the exit wounds, right and left thighs. Scrotum was also burned. 3: surgical wound, during and post op. 4: wound after an abscess was drained. Spent 10 days in the ICU. He got a colostomy and got reconnected six months later.


I don't know what's with these incisions lately. I got to this pt home & he told me a staple "popped". I took dressing off to find this. He said it was redder than yesterday & I found peri-incision warm to touch. The dehiscence opening tunnels 4 cm at 12 o'clock. I sent him to surgeon same day to assess and client was sent right back home with order to cleanse with Betadine, pack with dry "sponges" daily. He pulled out the JP drain also. And that surgeon told pt he was going to try and "hold onto the black tissue". I don't think there is a way the eschar will ever "recover". Frustrating.


pt thought it was a good idea to "lance" an ingrown hair at home to drain it, now what??

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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?