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The patient is an adult male with a gunshot wound to the chest, and they’re combative with emergencymedicalservices (EMS). According to a recent study in the Journal of Surgical Research [3] , 44% of all penetrating thoracic trauma patients presented to a non-trauma center (not a level 1 or level 2 ACS defined trauma center).
In the world of emergencymedicalservices, encountering victims of electrical burns presents a unique set of challenges. As a veteran emergencymedical technician (EMT), I’ve seen firsthand the critical importance of prompt and effective prehospital care in these situations.
A 44 year-old male with unknown past medical history came by emergencymedicalservices (EMS) to the emergency department (ED) for an electrical injury and fall from a high voltage electrical pole. 2,3,5 Except for laundry or electrical car outlets (240 V AC), all U.S.
A study published by Cambridge University Press examined patient outcomes over a decade during which EmergencyMedicalService (EMS) systems decreased backboard use as they transitioned from SI to SMR protocols. The study included 549 patients in the SI period and 623 patients in the SMR period.
1 The American College of Surgeons’ (ACS) Trauma Quality Improvement Program (TQIP) Massive Transfusion in Trauma Guidelines leave a good amount of flexibility for hospitals regarding transfusion protocols, focusing more on systems-level aspects of designing and implementing MTPs.2,3 ACS TQIP Best Practice Guidelines. Ann Emerg Med.
Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergencymedicalservices. 3 Once the patient arrives in your emergency department, a rapid review of the patient’s status and results of resuscitative efforts should be performed. South Med J.
Louis); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case EmergencyMedicalServices brings in a 62-year-old male with COPD in acute on chronic hypoxemic respiratory failure (usually on 3 L nasal cannula, now on non-rebreather at 15 L/min). 11) Webb RK, Ralston AC, Runciman WB.
When the Queen has some suspicion of OMI, she asks if the patient has ACS Symptoms. The emergency physician does cautiously (correctly) note that the ECG meets STEMI criteria in V3 and V4, but goes on to document absence of ACS symptoms. When I reviewed the chart, I learned that the patient had presented with syncope.
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