Status epilepticus:

Status epilepticus is one of life-threatening medical emergencies commonly encountered in emergency room. Once happened , you should deal with status epilepticus with aggressive approach. It usually requires intensive care unit admission.

Definition of Status Epilepticus :

Status epilepticus is is defined as continous seizures lasts more than 15-30 minutes or multiple successive seizures (3 or more) without regaining of consciousness inbetween (mental status does not return to baseline between seizures) .
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Status Epilepticus : How to Abort Refractory Status Epilepticus

CT chest trauma

A 27 year-old male victim came to emergency department after road traffic accident. He had chest pain at both sides , front and back of the chest . He came with rapid shallow respiration (RR=26 cycle/minute). His pulse rate was 93 beat/minute. Blood preassure was 95/60.

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Spot Diagnosis: CT Chest of Chest Trauma Victim

A case of Acute Hypertensive Pulmonary Edema :

a 57 year-old male patient came to emergency department complainig of dyspnea , orthopnea , irritability and sweating . He is hypertensive since 10 years , but he neglected hypertension medications since 3 weeks. On examination, arterial blood pressure was 210/120 , respiratory rate was 29 cycle/minute , heart rate was 98 beat/minute , temperature was 37 C . Neck veins were congested. Chest examination revealed bilateral fine basal crepitations and wheezes . There was moderate lower limb edema.
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Acute Hypertensive Pulmonary Edema Case

Acute Bronchial Asthma Exacerbation

The patient of acute bronchial asthma exacerbation usually comes to emergency department complaining of worsening of the usual asthma symptoms such as cough , wheezes , breathlessness and chest tightness , and he/she does not respond to the usual relieving treatment.
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Acute Bronchial Asthma Exacerbation : Diagnosis and Management

CT Brain : Subdural Hemorrhage

Intracranial hemorrhage is one of the most serious emergencies . Intracranial hemorrhage may be caused by head trauma or spontaneously in elderly or in hypertensive patients or in patients who have coagulopathies. Intracranial hemorrhage is divided into four types : 1- Extradural hemorrhage (EDH), 2- Subdural hemorrhage (SDH), 3- Subarachnoid hemorrhage (SAH), 4- Intracerebral hemorrhage (ICH).

CT scan of skull and brain is a very useful radiological investigation in emergency medicine field. It is usually indicated in cases of head trauma and cases of altered mental status and focal neurological deficit to assess and confirm the diagnosis of intracranial hemorrhage .
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CT Brain in Cases of Intracranial Hemorrhage

Spot diagnosis of anterior shoulder dislocation

The following image is an image of 28 year-old basketball player who fall down while playing basketball:

Anterior Shoulder Dislocation

As seen in this image ; the rounded contour of deltoid muscle is lost and the acromion becomes prominent in the right upper limb of patient ( shoulder is box-like).
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Anterior Shoulder Dislocation : Spot Diagnosis of an Emergency Case

A case of upper gastroentistinal tract bleeding (upper GIT bleeding):

A 54 year-old male patient came to emergency department with hematemsis and drowsiness . He is hepatitis C virus (HCV) positive and has liver cirrhosis. It was his first hematemsis attack and has any other evidence of previous GIT bleeding.

On Examination, his pulse was 120 beat/minute , supine blood pressure was 110/70 , win he stood upright his blood pressure was 70/40 and had sense of fainting. He had muddy face . Heart examination and chest examination were normal. Abdominal examination revealed sharp lower border of the cirrhotic liver in the right hypochondrial region , moderate ascitis and dilated veins about umbilicus. Lower limbs showed moderate bilateral edema on examination.
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A Case of Upper GIT Bleeding

27 year-old healthy man came to emergency room ER with trauma of left hand causing swelling of the hand. On X ray of the left hand, there was no radiological signs of fracture nor fissure. You decided to give him diclofenac potassium (cataflam) intramucular and alfa-chemotrypsin intramuscular as an analgesic , anti-inflammatory and anti-edematous. 
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Anaphylaxis case discussion

Diabetic ketoacidosis “DKA” is a syndrome characterized by a triad of  increased serum glucose level (hyperglycemia), increased serum ketones level (ketonemia) , and metabolic acidosis  caused by either relative or absolute insulin deficiency .
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Diabetic Ketoacidosis : Pathophysiology , Causes , Diagnosis and Management

 First Seizure in Adults

General Considerations about Seizures:

EEG

Incidence of Seizures:

Seizures have a bimodal age distribution, their incidence increases in infancy and early childhood then declining in older childhood until age 60, when the incidence increases again. The most common cause of seizures in childhood is febrile seizures . Noncompliance with anticonvulsant medications is the most common cause for seizures in adults less than 60 years of age. The most common cause of seizures in the age group over 60 years is stroke then malignancy.
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Approach for First Seizure in Adults : Causes and Management