Umesh Yadav presented on fat embolism syndrome. Key points include: 1) Fat embolism syndrome is a serious complication of long bone fractures that can cause multi-system organ dysfunction, most commonly involving the lungs and brain. 2) The pathophysiology involves fat globules entering the bloodstream from broken bone marrow and lodging in the pulmonary vasculature and brain. This can lead to hypoxemia, neurological changes, and petechial rashes. 3) Diagnosis is clinical based on criteria like Gurd's that require respiratory symptoms plus findings in two other organ systems. Treatment focuses on fracture stabilization, ventilation, volume resuscitation and sometimes