CPC-EM: Volume 2 Issue 1

54-Year-Old Female with a Syncopal Episode

Cimino-Fiallos, MD, et al.

A 54-year-old woman presented to the emergency department (ED) with a complaint of syncope. The patient was unable to offer any history, so all information was obtained from her friend, paramedics, and past records.

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Double Trouble: Massive Unruptured Aortic Aneurysms

Gagne, DO, et al.

We describe a patient who presented to the emergency department complaining of generalized weakness, dark stools, and urinary retention who was found to have two large abdominal aortic aneurysms (AAA) compressing his bilateral ureters with associated hydronephrosis and renal insufficiency.

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Adhesive Closed-loop Small Bowel Obstruction

Edwards, MS, et al.

We present the case of a male evaluated in the emergency department for a closed-loop small bowel obstruction due to an adhesive band that likely formed after blunt abdominal trauma over two decades earlier. We review the epidemiology, pathophysiology, and treatment options for similar cases of adhesive SBO.

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Central Venous Catheter-directed Tissue Plasminogen Activator in Massive Pulmonary Embolism

Gulati, MD, et al.

We present the case of an 88-year-old female who presented to the emergency department (ED) with suspected massive pulmonary embolism (PE) causing respiratory failure, right heart strain, and shock, who despite early and aggressive resuscitation with vasopressors and continuous peripheral infusion of tissue plasminogen activator (tPA), suffered a cardiac arrest in the ED.

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A Cloudy Conical Cornea

Biggs, DO, et al.

A 26-year-old Black male presented with right eye redness, discomfort and decreased vision over the preceding two weeks. There was no history of trauma or other precipitating event.

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Contact Information

WestJEM/ Department of Emergency Medicine
UC Irvine Health

333 The City Blvd. West, Rt 128-01
Suite 640
Orange, CA 92868, USA
Phone: 1-714-456-6389
Email: westjem@gmail.com

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WestJEM
ISSN: 1936-900X
e-ISSN: 1936-9018

CPC-EM
ISSN: 2474-252X

Our Philosophy

Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.