Save of the Month! August 2014

Welcome to Save of the Month! where each month we recognize a resident who went above and beyond to make a great save in the ED. Nominations are solicited from the faculty each block and we pick one resident for recognition and embarrassment on this blog.

This month’s edition goes to . . . Dr. James Hassel!

Here’s the story . . .jhassel

A 9 month old boy was brought in for vomiting. The patient had normal vital signs, looked completely well, wasn’t crying at all and was tolerating PO in the ED but Hassel did a really thorough abdominal exam and noticed that the child had a subtle swelling on the right side of the abdomen. He grabbed the sono and we did intussa bedside exam and found a very clear intussusception. Even the surgery consultant was impressed with the catch and said that it was more likely to be reduced with air enema because it was early on. I followed up on the case and they were able to reduce it and the kid is doing well. I have to be honest, I’m not sure if I would have caught the mass on exam if he hadn’t asked me to specifically look for it. It was a great save.

Excellent job Dr. Hassel!

The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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Jay Khadpe MD

Editor in Chief of "The Original Kings of County" Assistant Professor of Emergency Medicine Assistant Residency Director SUNY Downstate / Kings County Hospital

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1 comment for “Save of the Month! August 2014

  1. eabram
    September 19, 2014 at 4:38 pm

    Wow! Way to go Hassel!

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