Also known as: Heart attack
58-year-old male presents with chest pain and ST elevation (STEMI). He develops ventricular fibrillation requiring defibrillation and is prepared for emergency cardiac catheterization with target door-to-balloon time under 60 minutes.
Also known as: Multiple broken ribs on both sides
16-year-old female crushed by 200-pound public address speaker, resulting in multiple bilateral rib fractures with paradoxical chest movement. Develops severe hypoxia requiring BiPAP, then intubation and mechanical ventilation. Receives epidural for pain management.
Also known as: Collapsed lung
Young male with chest trauma and impalement by protest sign piece. Develops partial lung collapse requiring chest tube placement. Also has pelvic crushing injury and urethral tear requiring suprapubic catheter.
Also known as: Major injuries from car accident
Dr. Neela Rasgotra suffers extensive crush injuries to chest, abdomen, and all four extremities during the protest incident. Develops hypotension, anemia, abdominal bleeding from complex liver laceration, severe rhabdomyolysis with potassium of 8.1, respiratory failure requiring intubation, PEA arrest, and acute renal failure. Undergoes emergency exploratory laparotomy with liver repair.
Also known as: Rhabdo
Neela develops severe rhabdomyolysis from extensive crush injuries with CK of 9200 and potassium of 8.1, requiring aggressive treatment with bicarbonate, insulin, glucose, and Kayexalate to prevent fatal arrhythmias and renal failure.
Also known as: Ruptured eyeball
Patient initially thought to have foreign body to eye presents with complete vision loss and irregular pupil, diagnosed as ruptured globe with intraocular bleeding requiring emergency ophthalmology surgery.
Also known as: Second-degree burns
Patient sustains second-degree bilateral forearm burns while attempting to extinguish burning flag during protest, treated with Silvadene dressing and pain medication.
Also known as: Magic mushroom trip
Orthopedic surgeon presents with altered mental status and hallucinations after ingesting psilocybin mushrooms. Despite his intoxication, he successfully reduces and casts a Colles' fracture on another patient.
Also known as: Torn urethra
Patient with pelvic crush injury develops urethral tear causing massive bladder distension and hypotension, requiring suprapubic catheter placement for urinary drainage.
Also known as: Severed finger
Patient sustains traumatic amputation of multiple fingers from fireworks/explosive device malfunction, requiring hand surgery consultation for potential reimplantation.
Also known as: Dislocated hip
Patient with traumatic hip dislocation develops compromised vascular supply to foot, requiring urgent closed reduction to restore circulation.