Posted by Andy Jagoda MD in: What's Your Diagnosis , trackback
Welcome to this month’s What’s Your Diagnosis Challenge!
Case Presentation: Less-Lethal Law Enforcement Weapons: Clinical Management of Associated Injuries in the Emergency Department
A 10-year-old girl is brought to your ED with the chief complaint of eye burning and tearing…
- The girl was attending a peaceful march downtown when some protestors became violent and began shoving the attendees. Law enforcement responded and dispersed a “gas” into the crowd to clear the area. The girl and her mother remember seeing large cannon-like weapons and then being surrounded by thick smoke. The girl initially had some coughing that improved after they removed themselves from the crowd, but now she has persistent “burning” eye pain and constant eye watering.
- On examination, you note mild conjunctival injection bilaterally with persistent tearing. The girl’s pupils are round and reactive to light, and her extraocular movements are intact. You notice traces of powder on the child’s face. Her vital signs are within normal limits, her lungs are clear, and her heartbeat is regular.
- What was this patient most likely exposed to? How can you best decontaminate her? How can you protect your staff from secondary exposure? What additional findings should you be looking for on examination? What treatment is needed?
Make your best guess, and check back next month to find out the correct answer!
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