Implementation and Evaluation of a Trainee Orientation Manual in an Intensive Care Unit Rotation.

Background: The intensive care unit (ICU) rotation places trainees in a fast-paced, high-intensity environment that requires complex patient care and multidisciplinary coordination. Trainees seek continuous medical knowledge acquisition while tasked with learning ICU-specific workflows, procedures, and policies. The unfamiliarity with rotation logistics and administrative roles and expectations could hinder the ICU rotation learning experience.

Delayed complication of iliac artery aneurysm repair-from critical limb ischemia to mixed shock: a case report.

Background: Iliac artery aneurysms (IAA) can exist in isolation or in combination abdominal aortic aneurysmal disease. Isolated IAA are rare, often asymptomatic and will present with compression of local structures or incidentally on imaging. Treatment depends on symptomology and size.

Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain.

Case Presentation: We describe a middle-age male with a past medical history of second-degree atrioventricular block type II status post permanent pacemaker placement the day prior who presented to the emergency department complaining of chest pain. Electrocardiography showed a non-paced ventricular rhythm. Chest radiograph showed the ventricular pacemaker lead located distally overlying the right ventricle apical area.