FOAMed

EM@3AM: Pneumothorax

A 30-year-old male presents after a motor vehicle accident with chest pain and shortness of breath. He is alert, speaking in 1-2 word responses, and appears in moderate respiratory distress. He has normal left sided breath sounds, but none on the right. No lung sliding is seen with ultrasound examination of the right thorax. His trachea is deviated left, and increased JVD is noted. What is this patient’s presentation consistent with? What is your next step in management?

EM@3AM: Pneumothorax Read More »

Medical Malpractice Insights: Chest tightness and cough – EKG, CXR, or both?

Last month’s case was an example of a missed MI due to anchoring bias based on the patient’s prior history of pulmonary fibrosis. In this month’s brief summary, we are reminded that myocarditis is another cause of chest pain that must be considered, especially in younger patients.

Medical Malpractice Insights: Chest tightness and cough – EKG, CXR, or both? Read More »