Congratulations to this round of Save of the Month winners!
Dr. Danny Mindlin pushed for the admission of a patient with a new cranial nerve palsy and weakness despite a normal MRI and neurology recommendations for discharge. He was ultimately diagnosed with Miller-Fisher variant of Guillan-Barre.
Dr. Evelyn Lee managed two unrelated post-dive cardiac arrests simultaneously in the Catalina Hyperbaric Chamber (http://dornsife.usc.edu/hyperbaric/). Both recovered and were completely neurologically intact upon discharge.
Drs. James Salway and Amin Abdi used ultrasound for a shoulder arthrocentesis that was unsuccessful by two ED providers and orthopedics. As Dr. Harrison pointed out, the real SOTM may have been convincing the patient to undergo four attempts at a tap.
Dr. Ilene Claudius picked up a missed congenital coarctation of the aorta in a young adult with atypical chest pain, based on a crescendo-decrescendo murmur, 20 mmHg blood pressure disparity in the upper extremities, and hypertension. He underwent successful surgical repair without complications.
*Patient identifiers have been removed from these cases and submissions are chosen from cases that occurred over the past year to maintain HIPAA compliance