Whole fentanyl patch ingestion: a multi-center case series.

Background: Fentanyl is a potent synthetic opioid with large abuse potential. A common preparation of fentanyl is a sustained-release transdermal patch. To our knowledge, there are only two published case reports of whole patch ingestion.

Right atrial thrombus secondary to pacemaker wires.

Background: Pacemaker-induced right atrial thrombus is a rare condition that has not been described in the Emergency Medicine literature. This is a potentially fatal condition that is diagnosed with an echocardiogram and treated with surgical removal, thrombolytics, or long-term anticoagulation.

Objectives: This case report is designed to increase awareness among emergency physicians of this potentially fatal condition.