Confusing Hypoxia in a 21-Year-Old Intubated Multiple Trauma Patient
Journal Title: Archives of Academic Emergency Medicine - Year 2014, Vol 2, Issue 2
Abstract
A 21-year-old man was brought to the emergency de-partment due to multiple trauma (MT) caused by a motor-car accident (MCA). On arrival, the patient was intubated by prehospital emergency medical services (EMS) and had a Glasgow coma scale (GCS) score of 6 on 10 (Due to intubation, verbal score was omitted). Physical examination revealed blood pressure of 150/70 mmHg, oxygen saturation (O2sat) of 60%, and pulse rate of 110/min. Examination of the tracheal tube site revealed incorrect esophageal placement.
Deep Vein Thrombosis among Intensive Care Unit Patients; an Epidemiologic Study
Introduction: Deep vein thrombosis (DVT) is a major cause of morbidity and mortality in intensive care unit (ICU) patients despite use of prophylactic anticoagulant therapy. The aim of the present study was to determine...
The Accuracy of Plain Radiography in Detection of Traumatic Intrathoracic Injuries
Introduction: Rapid diagnosis of traumatic intrathoracic injuries leads to improvement in patient management. This study was designed to evaluate the diagnostic value of chest radiography (CXR) in comparison to chest com...
Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement
Early detection of free air in the peritoneal cavity is vital in diagnosis of life-threatening emergencies, and can play a significant role in expediting treatment. We present a series of cases in which bedside ultrasoun...
Worsened Dysrhythmia after Chemical Cardioversion with Digoxin; a Case of Malpractice
The patient was a 23-year-old man referred to the emergency department (ED) with the chief complaint of palpitation. The patient experienced dizziness, cold sweating, and lightheadedness after getting up which started sp...
Synergistic Effects of Citalopram and Morphine in the Renal Colic Pain Relief; a Randomized Clinical Trial
Introduction: Although the synergistic effects of opioids and other analgesic drugs such as non-steroidal anti-inflammatory drugs (NSAIDs) have been established in relieving acute pain due to renal calculi, no studies to...