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Something Winter This Way Comes

EMS 12-Lead

MICU transport was unremarkable. Here the ST segments are not so deep, nor are the T waves so wide and bulky, because of improved coronary flow at the level of the occlusion. But the lesion is still active! This is demonstrated by lingering Hyperacute T waves in V2-V5 (i.e. hyperacute in their own rite despite attenuated ST segments).

MICU 130
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Non-Invasive Blood Pressure Monitoring in Critically Ill Adults?

REBEL EM

J Crit Care 2020. 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 for every change in 1mmHg Higher BMI: aOR 1.04; 95% CI 1.01 to 1.09; p = 0.01 for an increase in 1 Increased Patient Age: aOR 1.31; 95% CI 1.30 to 1.37; p <0.01 to 2.47; p – 0.04 were they in the resuscitative phase?

MICU 126
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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.

MICU 52
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My Burnout

The Overrun

In early 2020, my colleagues at the shop I worked at were dealing with the dissolution of that department, our absorption into multiple other EMS departments, as well as this odd virus that seemed to be spreading quickly, although we were assured that there wasn’t a big issue, it would be mostly over by the summer.

MICU 52