Remove 2020 Remove EMS Remove MICU
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Something Winter This Way Comes

EMS 12-Lead

EMS personnel found him seated on a bench, uncomfortable, but without gross distress. MICU transport was unremarkable. A third, and final, EMS 12 Lead ECG was recorded: The precordial ST segments (even Leads I/aVL, as well) have reverted to a dramatically depressed state. But the lesion is still active!

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Non-Invasive Blood Pressure Monitoring in Critically Ill Adults?

REBEL EM

J Crit Care 2020. PMID: 32109843 For More Thoughts on This Topic Checkout: REBEL EM: Is ATLS Wrong About Palpable Blood Pressure Estimates? appeared first on REBEL EM - Emergency Medicine Blog. to 1.12; p = 0.03 for every change in 5ug/min Lower MAP Value: aOR 0.98; 95% CI 0.98 to 0.99; p <0.01 to 1.09; p = 0.01

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The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL EM

However, recently the National Emergency Airway Registry reported ketamine is associated with more-frequent hypotension than etomidate in critically ill patients (Mohr 2020). In contrast, patients in the ketamine arm had higher rates of MICU admissions. 2020 Nov;27(11):1140-1149. Epub 2020 Jul 20. Acad Emerg Med.

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My Burnout

The Overrun

I’ve been in EMS a long time. Of everything I’ve done in my adult life, I’ve enjoyed EMS the most, and it’s been good to me. I saw our shiny new MICU vehicles become like us. I was certified as an EMT back in 1994, and since then, I’ve held a license to practice at varying levels.

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