Also known as: Narcotic overdose
19-year-old college student found unresponsive with pinpoint pupils and respiratory depression. Despite Narcan administration, he progressed to brain death from prolonged hypoxia due to fentanyl overdose.
Also known as: Facial fracture
23-year-old e-scooter rider struck by car door, sustaining severe facial fractures with airway distortion requiring emergency cricothyroidotomy to secure airway.
Also known as: Lung infection
Elderly man with dementia admitted from assisted living with pneumonia progressing to sepsis. Despite treatment, he develops respiratory failure requiring BiPAP, with family conflict over advance directive regarding intubation.
Also known as: Sickle cell crisis
Woman with sickle cell disease presenting with severe pain crisis inadequately controlled by home medications, requiring high-dose IV opioids and exchange transfusion. Initially mistreated by EMS as drug-seeking.
Also known as: Electrocution
Man electrocuted by live wire while attempting to steal copper, suffering cardiac arrest and severe forearm burns requiring fasciotomy for compartment syndrome.
Also known as: Stab wound
Young man with gunshot wound to abdomen causing liver injury and significant blood loss, requiring emergency surgery.
Also known as: Heart attack
68-year-old man initially presenting with right upper quadrant pain thought to be gallstones, but suffered cardiac arrest in the hallway, likely from myocardial infarction. Resuscitation efforts unsuccessful.
Also known as: Being high on marijuana
4-year-old child who accidentally ingested cannabis gummies, requiring hospital admission and observation. Case triggers mandatory CYF reporting and family conflict.
Also known as: Gallstones
Initial presenting complaint for Mr. Milton with right upper quadrant pain after fatty meal, but this diagnosis proved to be a red herring for his actual cardiac event.
Also known as: Vitamin C deficiency
Unhoused man found unresponsive with perifollicular hemorrhage, gingivitis, and bleeding gums due to inadequate nutrition consisting primarily of ramen noodles.
Also known as: Alzheimer's disease
Elderly patient's baseline cognitive impairment complicates medical decision-making regarding advance directives and end-of-life care.
Also known as: Asthma attack
Brief mention of pediatric patient with asthma exacerbation being treated with albuterol and corticosteroids.