Dr. Smith's ECG Blog

JUNE 17, 2024

Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage. What do you think?

E-9-1-1 139

E-9-1-1 ACS Emergency Department Coronary 139

EMDocs

FEBRUARY 7, 2024

Despite a plateau in overall union membership of around 10% in 2023 1 , major labor actions shook the U.S. January 23, 2024. 2023 October 9. NYC Hospitals Start Moving Sick Babies, Diverting Ambulances as Nurse Strike Looms. 2012 Feb 1;4(1):127-57. Essex R, Weldon SM, Thompson T, Kalocsányiová E, McCrone P, Deb S.

E-9-1-1 98

E-9-1-1 Ambulance OR 98

FOAMfrat

APRIL 22, 2024

This kid had sticks go through his cheek from running with a lollipop, hit by a car, almost kidnapped, attacked by a dog, and almost burnt his house down by throwing a 9-volt battery in the trash. 2024 Mar 15:1-9. Robichaud L, Ross D, Proulx MH, Légaré S, Vacon C, Xue X, Segal E. 2016;20(1):76-81.

E-9-1-1 78

E-9-1-1 ACS Paramedic Critical Care 78

FOAMfrat

MAY 19, 2024

The patient’s mother accompanied me in the patient compartment of the ambulance on our 30-minute ride to the children's hospital. While transporting to the emergency department, the patient’s mother informed me that PDCD affects less than 1 in 50,000 individuals and is more common in males than females. 2002 Oct 9.

E-9-1-1 98

E-9-1-1 ALS Emergency Department EMT 98

EMDocs

NOVEMBER 16, 2024

1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 9=11 70% monomicrobial, 25% poly-microbial, 5% culture-negative. 9=11 70% monomicrobial, 25% poly-microbial, 5% culture-negative. 2020 Sep 30;5(9):558-567. 10% of patients.

EMS 97

EMS E-9-1-1 Operating Room Emergency Department 97

ACEP Now

APRIL 5, 2024

If the cops had just heard him say he was short of breath, and had responded to that and had just sat him up, called an ambulance and sat him up, you and I would never have heard of the case.” Accessed March 26, 2024. Accessed March 26, 2024. Accessed March 26, 2024. Accessed March 26, 2024. Published May 1, 2023.

E-9-1-1 49

E-9-1-1 ALS Paramedic OR 49

Don't Forget the Bubbles

NOVEMBER 27, 2024

Umana E, Mills C Norman-Bruce H, Mitchell H, McFetridge L, Lynn F, McKeeman G, Foster S, Barrett MJ, Roland D, Lyttle MD, Watson C, Waterfield T, on behalf of Paediatric Emergency Research in the UK and Ireland (PERUKI), Lancet eClinical, 2024 Who were the patients? An additional 1 ml of blood was taken for PCT from some infants.

E-9-1-1 81

E-9-1-1 Emergency Department Ambulance ED 81