The Annals of Navy Emergency Medicine is a monthly publication created to complement traditional Emergency Medicine didactic education. The cases are real and are based on patient visits to the NMCP and NMCSD Emergency Departments; identifiers have been removed.

The views expressed herein are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government. Information contained in this publication is intended for staff education and training purposes only.The Annals of Navy Emergency Medicine is not an official Navy publication. Any information is meant as guidance and does not reflect actual U.S. Navy policy.
For all military service members, this publication was prepared as part of their official duties. Title 17 U.S.C. 105 provides that “Copyright protection under this title is not available for any work of the United States Government. Title 17 U.S.C 101 defines a United States Government work as one prepared by a military service member or employee of the United States Government as part of that person’s official duties. This publication was created as part of the Residency Programs of the Department of Emergency Medicine at Naval Medical Center Portsmouth and Naval Medical Center San Diego; as such, it is a privileged document protected from unauthorized disclosure, discussion, or reproduction.