A 63-year-old male with a past medical history of epilepsy, hypertension, and papillary thyroid carcinoma s/p left hemithyroidectomy presents with nausea and vomiting. The patient reports that, around 2:00 AM, he woke up from his sleep and began sweating and vomiting. These symptoms have continued intermittently since then, and the patient presents with his wife around 5:00 PM. He reports epigastric discomfort but denies any fevers, chills, chest pain, palpitations, or shortness of breath.

Taylor Wahrenbrock, MD; Michael Hohl, MD; Ari Edelheit, MD

A 72-year-old male with a past medical history of hypertension, type 2 diabetes, hyperlipidemia, atrial fibrillation, coronary artery disease (CAD) with triple-vessel disease, heart failure with a known ejection fraction (EF) of approximately 30%, chronic mesenteric ischemia, and liver cirrhosis presents to the emergency department (ED) with complaint of bilateral lower extremity swelling.

Michael Hohl, MD

It’s 3:00 AM and the ER theme song wakes you from your Trauma swivel chair nap. “County, this is CFD. We’re bringing you an 11-year-old male who was a restrained passenger involved in a head-on motor vehicle collision going 45 miles per hour. Airbags deployed, and the patient was able to self-extricate. We’ll be there in 2-3 minutes.”

Michael Hohl, MD; Taylor Wahrenbrock, MD; Ari Edelheit, MD