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Something Winter This Way Comes

EMS 12-Lead

MICU transport was unremarkable. There was no obvious pallor, diaphoresis, or dyspnea, and he denied any prior episodes of vomiting. He described the pain as “nagging,” and equally not exacerbated by any kind of movement. A pertinent medical history remarkable for HTN was disclosed, which was well controlled on Rx Olmesartan.

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

REBEL EM

J Crit Care 2020. The largest trial comparing invasive arterial blood pressure (IABP) to noninvasive blood pressure (NIBP) monitoring in critically ill patients had just over 700 patients and found a mean difference of 1.0mmHg (+/- 10.2) which was not statistically significant [2]. to 1.12; p = 0.03 to 0.99; p <0.01 to 1.09; p = 0.01

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). The Ketased Trial (Jabre 2009) reported no significant difference between the two induction agents. The significance of 7-day survival is unclear.

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. Some died.

MICU 52