Archive for the Case Studies Category

I just passed out!

Posted in Neurological, Pathology, Prehospital Care with tags , on May 10, 2010 by The Beaver Medic

As you begin lathering your hair and launch into the second verse of Calendar Girl the tones of your pager sound. Still shampoo’ed but now uniformed you dart out the door. Dispatch has a First Responder call for a 28-year old unconscious female. En route to the station you daydream about using an airway and bag valve mask on somebody other than a CPR dummy.

Your Engine’s code three arrival has drawn more people to the neighbouring lawns than you thought lived in this town. With jump kit and supplemental oxygen in hand you stumble onto the lawn. Just as your helmet slides over your eyes, yet again, you notice Mum standing calmly in the door. Wait, something is wrong here. Where is the arm waving? Where are the airport ramp “they’re in here” signals? Mum seems more concerned about her prized geraniums you just trampled on. Those and the size 12 top-soil prints you are trekking on her new carpet. Strange…

Once you enter the the living room it all becomes clear. Seated inside are a nervous boyfriend, Dad cursing the Jets for a missed field goal and a very embarrassed, though conscious, 28 year old female.

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Oral Conception: a very interesting childbirth

Posted in Prehospital Care with tags , , , on February 2, 2010 by The Beaver Medic

No, that is not a type-o. I meant conception and not contraception. This morning’s edition of 102.1’s the Dean Blundell show had a very interesting Edge file. Dean described the story of a girl born with vaginal agenesis that presented to an emergency ward with extreme abdominal pain. Unable to diagnose the cause physicians performed an exploratory laparotomy. Their findings included a full-term 6 lb baby boy. The baby was delivered through cesarian section and was discharged with his healthy, and surprised, mom six days later. Remarkable? Consider that vaginal agenesis means the mother was effectively born without a vagina.

So how is it possible for a baby to be conceived and carried to term by a mother without a vagina? Let us take a minute to examine a simplified version of the development of the genitalia. In the first 1-2 months after conception baby boys and baby girls are actually gender-indifferent. Both male and female genitalia are derived from common embryonic cell groups. Some of these cells differentiate into the internal reproductive organs and others into the external genitalia (ref: Lin, 2002).

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