Emerg Med J 30:429 doi:10.1136/emermed-2012-202069
  • Images in emergency medicine

A case of acute breathlessness in a swimmer

  1. Helen Mansfield
  1. Emergency Department, Cheltenham General Hospital, Cheltenham, UK
  1. Correspondence to Dr Helen Mansfield, Emergency Department, Cheltenham General Hospital, Sandford Road, Cheltenham GL53 7AN, UK; Helen.Mansfield{at}
  • Accepted 25 October 2012
  • Published Online First 22 November 2012

A previously fit and well 26-year-old female subject presented to emergency medicine with acute shortness of breath, the day after attempting to swim the English Channel. The breathlessness, which was worse lying flat, had come on 4 h after finishing the swim, and was associated with a cough productive of pink sputum.

She had …

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Among patients with minor TBI (GCS 13-15) getting CT scans ≥ 24 hours after injury, what proportion have a traumatic finding?


0.5% - 43% response rate
3% - 41% response rate
10% - 16% response rate

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