HPI: 15 y/o F with history of conduct disorder presents to an outside hospital community emergency department in police custody for a screening exam. The referring provider is calling for recommendations. You learn that the patient was involved in a high speed MVC, with +airbag deployment and it is unclear if she was restrained. She […]
Author: Nichole McCollum
Hot Seat #153: Medical Control Request
Situation: EMS on scene at a private home in DC (pre-COVID) calling to speak to a physician for medical control: “6 y/o F found in asystolic cardiac arrest. No true rigor but upper extremities and jaw slightly stiff. Last seen alive 12 hours prior”. The EMS team is requesting permission from the MCO physician to […]
Hot Seat #144: Denouement
Recap: 10yo boys both presenting with acute onset of abdominal pain, anorexia (+/- vomiting), found to have lower quadrant abdominal pain on exam and equivocal ultrasounds (and clinical courses). Here’s how you answered: Question 1 AB Question 1 CD Question 2 AB Question 2 CD Question 3 AB Question 3 CD Denouement: AB: had not […]
Hot Seat #144: A tale of two appys
Patient #1 (AB): 10 y/o M with lower abdominal pain x1 day. +anorexia, afebrile, no vomiting and no diarrhea. Sent by OSH for US to rule out appy. Exam– abdomen soft, Non distended. TTP with mild left> mild lower quadrant and suprapubic tenderness to palpation. GU normal. Patient #2 (CD): 10 y/o M with lower […]