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Articles by David Effron
How To Manage Tracheo-Innominate Fistula
A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergency department with hemorrhage in his oral cavity and blood from his tracheostomy tube. He has had a tracheostomy for approximately 15 months since his injury. Blood is spurting from the orifice of the tube. Tracheo-innominate fistula (TIF) is an unusual and frequently lethal complication of such definitive airway placement.
Case Report: EMS Says Flail Chest, But Is It?
A 58-year-old male with a history of alcohol abuse presented to the emergency department (ED) as a category 2 trauma for a fall with a reported flail chest. The patient had been drinking with friends when he was witnessed to trip and fall a distance of one step. His right chest wall struck a protuberance, initially reported to be the edge of a stair and later noted to be tree stump.
Unusual Etiology of Chest Pain
Figure 1: CT angiography showing numerous hyperdense foci (red arrows) within the pulmonary arteries. CT axial bone window. PHOTOS: David Effron The Case A 36-year-old woman presented to the emergency department for generalized weakness. The patient stated that over the past few days she was having a more difficult time getting out of bed. Along with this, she complained of a chronic right-sided chest pain and intermittent lightheadedness.
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