Author: Anbin Naidoo / Editor: Nick Tilbury / Codes: EnC6, RC1, RC2, RP1, SLO1, SLO2, SLO3 / Published: 10/03/2022
A 45-year–old male patient presents to the Emergency Department (ED) with his wife. Earlier in the day he had thyroid surgery and was observed for seven hours before being discharged home. The triage notes state that he is quite anxious, and is complaining of pain at the surgical site, with pins and needles in his fingers. He also has some slight dysphagia.
It’s typically another busy night in the ED and he is placed into the waiting room.
One hour later, you’re called into the resuscitation area. The same patient is cyanosed, has stridor and is sitting in a tripod position. He has no rash. The resuscitation nurses look worried, have inserted a cannula and started oxygen.
His observations are:
- SpO2 83 % on 15L O2
- RR 35
- HR 120
- BP 160/100 mm Hg
- GCS 15
Module Content
Thyroid Storm
Thyroid storm is a rare but life-threatening endocrine condition that should be considered, recognised and treated quickly
Non-Traumatic Neck Pain
Referred pain into the upper extremities often accompanies neck pain. Referred pain can be the initial symptom of a compressed nerve root by a ruptured disc or stenosis at the foramina from osteophytes.
Cervical Spine Injury
Cervical spine injuries are rare but potentially devastating. Immobilisation of the cervical spine on the slightest suspicion of injury is recommended by most resuscitation courses.
10 Comments
Helpful topic
thank you
Very useful
Thanks
Excellent revision
Very useful
Another procedure to add to the mental rehearsals we do for the (hopefully) “once in a career” events – thank you for sharing
Reference 11 is a great video of how to do the SCOOP.
excellent case for review
good case