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Stanford, CA Campus Map. Aeronautics and Astronautics. Design Impact. Focused initiatives to counter WPV in countries developing prehospital care systems are necessary to build a healthy and sustainable prehospital healthcare workforce. In this case report, we describe a patient with a posterior circulation stroke caused by a vertebral artery dissection, who presented to the emergency department with isolated truncal ataxia.

This case emphasizes the importance of obtaining a thorough history and physical exam for all neurologic complaints, including a careful ambulation assessment. Adult Epiglottitis: A Case Series. Emergency physicians are required to quickly identify critically ill patients among the large volume of patients with mild upper respiratory illness. Among these life-threatening conditions is acute epiglottitis. We report a rare series of four adult patients who presented to our Emergency Department during a period of only one week in April and were ultimately diagnosed with acute epiglottitis.

Three of the patients improved with conservative measures and were observed in the intensive care unit. One patient required an emergent tracheostomy. This series of patients is unique in that all four patients presented to a single Emergency Department within a few days of each other and, despite a myriad of presenting chief complaints, the patients were eventually found to have the same potentially life-threatening diagnosis.

These cases reinforce the variability of presenting symptoms and physical examination findings that can occur in patients with epiglottitis.

They also highlight clinical findings and adjunctive testing that can help identify patients who would most benefit from intervention. Strehlow, G. VRamana Rao, and Jennifer A. To improve timely patient care and expand provider scope of practice, nations leverage cellular phones and call centers for real-time online medical direction. However, there exist several barriers to adequate communication that impact the provision of emergency care.

A convenience sample of practicing EMTs in Gujarat, India were surveyed regarding the barriers to call initiation and completion.

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Student and Academic Services. Sievlan was an active student on campus. It's been such an incredible journey, and I still couldn't believe that I did it! I believe modern-day problems are complex, and it takes a pool of knowledge that no single mind can possess to solve them effectively.



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