#UNiTE-To-End-Violence-Against-Women I received a 22-year-o | Figure 1

UNiTE-To-End-Violence-Against-Women

I received a 22-year-old woman who came into the ICU last week. She was run over by a car driven by her husband.

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CASE OF THE SHADOW I DIDN‘T SEE
Field Medic Mystery Series: 5
Often I share my successes, here is a failure.
This is a "mini" case
Dispatch: 7 year-old male, Headache
It’s 10 pm on a windy night in a rough area and there’s no porch light.
A diffident voice tells us to come in. The mother is in her late 20s, sitting in the corner near a dim lamp. The boy is standing next to her. He appears to be afraid of us
I kneel in front of him. "Aren’t you feeling well?" He looks warily at his Mom
"Actually, I think he’s ok now. I, uh, overreacted."
I take his hand. I thought he might be feverish because he was shaking almost imperceptibly. Not warm. His pulse is just above 100. Breathing non-labored.
"Your head hurt?"
"My belly."
"He had a sore throat. No big deal."
The boy turned and looked into a bedroom. I looked too, but didn’t see anything.
"I think he’s ok. I should have called back and canceled you." Her voice is quivering a bit as she assures me we aren’t needed
She signs documentation for a refusal and we leave
While en route to the next call, the "diagnosis" that I knew in my gut finally percolated up to my brain
I was a new medic at the time, and although I’d lived in many countries and spoke several languages, I failed to comprehend this basic call for help
Challenge 1: What did I miss?

An estimated 2.4 million adults experienced domestic abuse in the year ending March 2019 in the UK; 1.6 million women and 786,000 men. Almost half of all murders committed in the UK are linked to domestic abuse, with one woman murdered by a partner or ex–partner every three days. Domestic abuse is common. It has also increased during the COVID-19 pandemic. We have published a new blog for abused women and those who support them. Former GP Lynda Ware looks at what domestic abuse is, at sources of help for women experiencing it, and at the evidence from three Cochrane Reviews looking at psychological therapies, advocacy interventions, and screening for abuse in healthcare settings.

Today I had 5 cases of domestic violence in ER. It was disturbing to see so many women in 1 day being battered by their spouse. All 5 came from all walks of life. First 2 images is of a 32 yr old lady, teacher. Boyfriend heated up a screwdriver and burnt her on her upper limbs and leg. 3rd image is of a 24 yr old executive who was punched by her husband after an argument. 4th and 5 th images is of a 42 yr old businesswoman who was punched on her arm by a jealous husband. I am ashamed to say that some of these women were seen before in ER and treated as accidental injuries.

Domestic violence. A sad reality. 25f who suffered physical agression from her husband using a katana, amputated her forearm and caused multiple wounds on torso and head. Went through surgery and survived. Still recovering in the enfermary

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?