The American journal of emergency medicine
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This is a case of a 19-year-old male who presented to the medical tent at an outdoor electronic dance music festival (EDMF) due to an altered mental state in the setting of acute 3,4-methylenedioxymethamphetamine (MDMA) intoxication. He was noted to be in severe respiratory distress, required endotracheal intubation in the field and subsequently developed Acute Respiratory Distress Syndrome (ARDS) without other acute organ dysfunction. He was hospitalized for 5days requiring endotracheal intubation and mechanical ventilation. By presenting this case, we will explore and discuss the cardiopulmonary effects of MDMA intoxication that can lead to a rare, deleterious complication of MDMA intoxication other than previously reported adverse outcomes.
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Case Reports
Diagnosing acute aortic dissection with aneurysmal degeneration with point of care ultrasound.
To present a case with visual images of an aortic dissection with aneurysmal degeneration. ⋯ An aortic dissection was detected rapidly by emergency physician preformed bedside ultrasound. This led to rapid identification and treatment CONCLUSION: Rapid bedside emergency ultrasound can quickly and accurately diagnosis an aortic dissection and lead to rapid treatment.