RESUMO
A 49-year-old male was brought to the Emergency Department after being found unresponsive. The patient had multiple seizures and was intubated in the prehospital setting. A computed tomography scan showed bilateral paranasal sinus disease, and magnetic resonance imaging showed a right frontal abscess and subdural empyema. Neurosurgery took the patient to the operating room, performed a craniotomy, and drained a large amount of purulent fluid. He was subsequently discharged for acute rehabilitation. Clinicians should consider complicated frontal sinusitis, especially in the undifferentiated patient presenting with neurologic deficits and signs or symptoms of sinus disease.
RESUMO
Accidental hypothermia can lead to untoward cardiac manifestations and arrest. This report presents a case series of severe accidental hypothermia with cardiac complications in three emergency patients who were treated with extracorporeal membrane oxygenation (ECMO) and survived after re-warming. The aim of this discussion was to encourage more clinicians to consider ECMO as a re-warming therapy for severe hypothermia with circulatory collapse and to prompt discussion about decreasing the barriers to its use. Niehaus MT , Pechulis RM , Wu JK , Frei S , Hong JJ , Sandhu RS , Greenberg MR . Extracorporeal membrane oxygenation (ECMO) for hypothermic cardiac deterioration: a case series. Prehosp Disaster Med. 2016;31(5):570-571.
Assuntos
Oxigenação por Membrana Extracorpórea , Parada Cardíaca/terapia , Hipotermia/terapia , Adulto , Feminino , Humanos , Masculino , Fatores de Tempo , Resultado do Tratamento , Adulto JovemAssuntos
Abscesso/complicações , Manuseio das Vias Aéreas/métodos , Oxigenação por Membrana Extracorpórea , Doenças Faríngeas/complicações , Supraglotite/complicações , Abscesso/cirurgia , Serviço Hospitalar de Emergência , Feminino , Humanos , Intubação Intratraqueal , Pessoa de Meia-Idade , Planejamento de Assistência ao Paciente , Doenças Faríngeas/cirurgia , TraqueostomiaRESUMO
The following unique case demonstrates an episode of acute dyskinesia secondary to oral baclofen toxicity. We discuss an 80-year-old man with a history of Stage III chronic kidney disease, coronary artery disease, diabetes and stroke who presented to the Emergency Department with new onset of behavioral changes and irregular jerking movements. The patient had been recently prescribed baclofen 10mg twice daily for a back strain he suffered; he subsequently was admitted to the hospital, and his symptoms resolved within 48 hours of admission and discontinuance of baclofen.