Background: Limited hospital capacity continues to be one of the major challenges to health care in hospitals in the US and the developed word. This problem manifests in a variety of ways in multiple settings starting with prolonged emergency room wait times and left without being seen rates, prolonged ED boarding time, and elective surgery [...]

Case Presentation: A 66-year-old female with medical history of breast cancer s/p mastectomy and chemoradiation with no proven recurrence and a recent CT guided biopsy of paraaortic nodes showing adenocarcinoma of unknown primary who presented to the ED with chief complaint of shortness of breath and leg swelling. Physical examination was significant for BP of [...]