Taming the SRU

MAY 13, 2024

HISTORY OF PRESENT ILLNESS A male in his 50s presents with right lower quadrant pain. The pain developed one day prior to presentation and was gradual in onset. He describes the pain as constant and sharp without radiation, rated at an 8/10. The pain has been worsening since symptom onset and has not been relieved with acetaminophen or ibuprofen.

Ultrasounds 87

Ultrasounds Emergency Department Wellness Operations 87

Taming the SRU

JANUARY 29, 2024

HISTORY OF PRESENT ILLNESS The patient is a female in her late 60’s presenting with acute onset of left arm pain and swelling. She initially noticed pain in her left arm with movement while helping her family move earlier on the day of presentation. While changing, she noticed that her arm was swollen to the mid humerus.

Emergency Department 82

Emergency Department Hospitals Fractures Operations 82

Taming the SRU

FEBRUARY 12, 2024

HISTORY OF PRESENT ILLNESS A female in her 30s arrives to the emergency department via emergency medical services. Per report, she called to declare ingestion of an unknown amount of several medications (possibly insulin, antihypertensives, and anticoagulants) in an attempt for self-harm. She has cool extremities but strong peripheral pulses.

Administration 71

Administration Fractures Anaphylaxis Emergency Department 71

Taming the SRU

JULY 13, 2023

HISTORY OF PRESENT ILLNESS A middle aged male presented with right eye pain. Patient stated that upon waking up from a nap his right eye spontaneously “popped out.” He was able to self-reduce the eye via relaxation and gentle pressure. He reported residual redness and soreness of the right eye. No mass or vascular malformation (Figure 1).

Dislocations 81

Dislocations Hospitals Wellness 81

Taming the SRU

DECEMBER 11, 2023

PATIENT PRESENTATION A young woman with a past medical history of major depressive disorder presented to the emergency room via EMS for a report of intentional ingestion of an unknown substance. EMS reported that she was vomiting profusely on their arrival to the scene but during transport became increasingly lethargic. of deaths worldwide.[1]

Psychiatric 86

Psychiatric EMS Emergency Department Poisoning 86

Taming the SRU

APRIL 10, 2023

Case 2 HISTORY OF PRESENT ILLNESS The patient is a male in his 20s presenting after an unintentional opioid overdose. He was found down by his family. Per paramedics, the patient was responsive to 4 mg Narcan. He was found to have oxygen saturation in the low 80s by squad, with improvement to the 90s on nonrebreather mask.

EKG/ECG 52

EKG/ECG Fluid Resuscitation Administration Emergency Department 52