#1

#2

The woman I evaluated ended up living. I was right, she did have a AAA, that if I had just sent her home, the surgeon told her she would have died because it was very close to bursting. She writes to me on every memorial of the day I met her, she says I was the only medical professional that finally took her pain seriously and that I am her guardian angel.
All I can say is thank goodness for Differential Diagnosis and clinical reasoning skills and maybe just maybe a REALLY scared new grad PT. 6 years later still a very proud moment of mine, but just doing my job.
#3

Anyway, an hour later I logged back into his chart to see how things were going in the ED and the first thing I see is a code note. He’d made it to the ED, gotten some blood drawn and turned out to be having a mild heart attack and while the doc was delivering the news and explaining next steps he’d had a cardiac arrest. They got him back immediately since having your arrest in an ED in front of a emergency physician is kind of a best case scenario. When I saw him again a week later he was doing great but told me that he’d almost gone to get some food (it was lunchtime) before going to the ED but decided against it. If he’d waited he would have had his arrest in a Jimmy John’s and things probably would not have gone so well for him.
Anyway, almost 20 years of practice and that’s my closest call.
It’s always better to be prepared for emergencies in life. While no one wants anything bad to happen, being ready can make a huge difference when it matters most. Even a little knowledge can go a long way in keeping you or someone else safe in critical moments.
#4

Everybody was asleep, the mom got up to pee, and fainted (from the CO poisoning) on her way back to bed. The sound of her fall woke her husband up who checked on her and called an ambulance. The first responders' CO detectors went off upon arrival and they evacuated everyone.
If she didn't have to pee, they'd be all dead.
If she just made a few more steps and reached her bed without fainting, they'd be all dead.
If the husband had a heavier sleep and didn't hear her fall, they'd all be dead.
If they thought the fainting was nothing and she'd see a doctor the next day, they'd be all dead.
Instead I had them all in the ER casually recovering from a moderate poisoning, chatting casually about this "unusual night" they were having, completely oblivious to how close they all got to make the local news the next day. It was eerie.
#5

He managed to get back in the truck and got it going again, and not very much longer, he got severe pain in his lower belly, so bad he couldn’t push the clutch in all the way. He used the CB radio to try to get some one but being Quebec, everyone was speaking French and he did not parlez. He finally got one guy to answer and dad told him that he wasn’t sure what was wrong but he don’t know where the hospital was or if he could get to it with the big rig.
Guy told him to make it exit whatever it was and he’d meet up with him and an ambulance. Guy was a truck running along side dad by this point having caught up to him. He’d radioed dispatch who called emergency services.
By this point, dad was getting weaker and weaker and wasn’t able to get the truck to come to a halt. The other trucker moved his box trailer in front of dad, who’d manage to gear down, having never truly gotten up to speed, and dad deliberately ran into the back of the other driver, coming to a halt.
Ambulance arrived and off he went to Campbellton, NB and into surgery for a perforated bowel and blood loss from a chicken bone in the sandwich. The surgeon told mum that dad was about 30 min from bleeding out, had he not made it to care.
#6

I was on vacation and it's habit to scan the water and count kids.... I had a group of small children I counted and there was 7 of them.... I kept looking around just kinda hanging out on the beach.... Next time I looked there were only 6 of them..... I was pretty sure none had left the water (they were on a sand bar type thing and would have had to walk directly at me to leave by walking....
I got nervous and got up to look.... Started walking out on the sand bar and I could see neon green underneath the water..... I swam over (it was off the sandbar) as fast as I could and pulled a 7 or 8 year old boy out of the water.... Ran him to the beach and slammed his back, I could feel a pulse but he wasn't breathing.... I gave one rescue breath and that kicked his system back on and he choked out water and started to breath....
If I hadn't been watching, or if I didn't get up to make sure one hadn't gone under he would have definitely died... The parents were facing away from the water so they could face the sun.... Just assumed since the sand bar was there it would be okay.... Only 2 out of the kids could actually swim....
If possible, consider taking a first aid training course. Learning the basics not only gives you confidence but could also save a life. Simple skills like performing CPR or knowing how to react quickly in an emergency can make you the person others rely on in a crisis.
#7

That being said, most of what walks through the front door could be treated at an urgent care during normal business hours. It's cheaper, I guarantee it.
I've had two patients in my care that experienced those. One guy had a little upset stomach and generally feeling crummy. Nice guy. Really chatty. We put him through the CT, and I watched his abdominal aorta dissect as the images came up.
The serendipitous part was that the trauma team just got finished with one guy, so they were all two rooms down. Guy brought in baked goods for the ER staff.
#8

Edit: the dad was well-intentioned, appropriately worried when he arrived, and cared for her lovingly at her bedside as she recovered. This wasn’t meant to shame him. Emergencies look different for everyone, and allergies evolve quickly. She probably was not “that bad” when he decided to get in the car and it’s not always easy to know how bad something will get. But he got her to us just in time, which was what OP was asking about. To answer the prompt, there are very few of those cases, which is why this one came to mind. She was safe and dad learned a lot, so everyone won.
#9

Got her admitted over the next hour. She had some borderline hypertensive pressures (h**h 130s over 80s) and when I placed her IV her heart rate went up to 130. Concerning, but in no way emergent, and possibly related to the panic disorder.
With no obvious event or explanation, Baby A had a precipitous drop into the 50s. I went into the room and her sats were in the 70s, heart rate 178. We ran her to the operating room and delivered her emergently, then transferred her to the ICU.
Final diagnosis? Acute heart failure with an EF of 17%. It was sheer dumb luck that she was scheduled for an induction within an hour of her heart deciding to crump.
Take choking, for example. It can happen anytime, anywhere, whether someone swallows food the wrong way at dinner or a child tries to gulp down a small toy. These situations can turn life-threatening within seconds. That’s why knowing techniques like back blows and abdominal thrusts (commonly known as the Heimlich Maneuver) is so important. Quick action in those moments can prevent serious injury or even death.
#10

At the ER I was checking in and things went sideways fast. I started bleeding out in the ER waiting room. I woke up in the after surgery area and had to have a blood transfusion. (Several pints)
I have several autoimmune diseases so it's not crazy for me to have weird reactions to things. My doctor told me I am the only person he ever had who was allergic to surgical staples.
#11

Got called out for an unknown medical around 3 in the morning.
Arrive on scene to find a lady in her late 40’s dressed, sitting in the lobby of a condominium building.
She was staying at a friend’s apartment for the week and didn’t have a car.
She was embarrassed that she called 911 but she was having such terrible indigestion since 11 pm and was afraid she had food poisoning.
No problem, we load her up, get a set of vitals, and then she mentions that it doesn’t get any better or worse when she lays down or sits up. That is a red flag in EMS, 99% of the time it means it’s cardiac related.
We hook her up to the EKG, and she’s throwing tombstones. My partner and I look at the monitor, look at each other, and both go “s**t”.
We started two IV’s, aspirin, morphine, and booked it to the nearest hospital with a cath lab.
When we came into the ED, the cardiologist is already there. He takes a look at the monitor (now running a full 12 lead), asks a few questions, we take her directly to the cath lab, and she codes.
We got her back after one shock, stabilized her, and they proceeded to perform the catheterization.
I heard she did fine in the cath and made a full recovery.
#12

I have heard numerous patients make claims like this and in the rare case that it's both potentially relevant to their current care AND I have enough time to look ... I've looked up the relevant records. In precisely zero of those cases would the person have died if they waited another hour. Another day? Sure.
I've had one personal case where the guy would have died if he had waited any longer to come in. He felt odd. Lightheaded. Nothing specific. 40 something generally healthy guy. Went into VFib right after he arrived. Shocked him out of it. He went back into a fatal arrhythmia a few more times but ultimately stabilized after more shocks and amio. If he hadn't arrived in the ER when he did, there's a h**h chance he either would have died, or not walked out neurologically intact like he did.
Bleeding is another scenario where fast response is key. From a kitchen accident to an unexpected fall, knowing how to apply pressure and control bleeding until help arrives can make a huge impact.
#13

He woke up one morning feeling "weird." No pain, no dizziness, just a consistent feeling of strangeness in his chest and stomach. He said it almost felt like indigestion. After drinking some water and the feeling not going away, he asked me to drive him to an urgent care facility. About half way there, he says to me that he was starting to feel dizzy, and he was getting tunnel vision. I knew he had a history of heart disease, so I made the decision to go to the ER instead.
As I walk into the ER, the nurse at the desk tells me to take a seat and she'll call me when she's ready; there was already someone checking in at the desk, and a line of people behind them. I knew that explaining the situation would take too long, so I pushed the person out of the way and told the nurse that my dad couldn't breathe. That got him rushed past the line and into an open room, where he was found to be having a heart attack. Two IVs, a crash cart, and a defib later, he was stable. He was moved to another facility, where he had open heart surgery, and has since made a full recovery.
The doctor told me that it was already a razor thin margin that he made it, and had I taken the time to wait in line or try to make the nurse understand the whole story, he wouldn't have survived.
#14

1) The worst one he'd ever seen
2) He got there "just in time."
Patients loved hearing it and repeating it. It wasn't their fault; it was this old b*****d's.
#15

In my last job I had a patient who had a VT arrest while visiting his mom (also our patient) on the tele floor of our hospital. It could have easily k****d him if it had happened almost anywhere else. He came through it neurologically intact and in pretty good shape.(Other than needing a heart transplant).
Allergic reactions can also strike suddenly and without warning. Recognizing the signs: such as swelling, difficulty breathing, or hives and responding quickly could be lifesaving, especially if epinephrine is needed.
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#18

My mom was very alarmed, called her friend who said I was probably faking and to see if I was better by Monday (this was Saturday morning). My mom fortunately decided to call an ambulance anyway, and I was rushed into emergency surgery as soon as I got to the hospital.
That week of leadup was my appendix telling me it was in distress, and Saturday morning it burst. According to what I was told later, another hour delay and I'd have been dead from the toxic c**p my guts were swimming in. As it was I spent almost 2 weeks in the hospital.
Burns are another common emergency, and even minor ones need proper care. Simple steps like cooling the burn under running water and avoiding home remedies can prevent further damage while you wait for professional help.
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