Unusual Case of Acute Decompensated Maple Syrup Urine Disease in the Emergency Department.

A case report of an army soldier presenting to the emergency department with acute metabolic derangement resulting in encephalopathy, cerebral edema, and death is presented. The patient had no medical diagnoses before entering military service and was triaged in the emergency department with the common complaint of presyncope. However, as encephalopathy worsened, the patient experienced altered mental status, lethargy, emesis, and seizure.

Military Medic Performance with Employment of a Commercial Intraosseous Infusion Device: A Randomized, Crossover Study.

Background: Obtaining intraosseous (IO) access remains an invaluable skill in the management and resuscitation of patients on the battlefield. The U.S.