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On the Scene: Prehospital Care for Electrical Burns for EMTs

EMT Training Station

As a veteran emergency medical technician (EMT), I’ve seen firsthand the critical importance of prompt and effective prehospital care in these situations. As EMTs, we’re always prepared to address these life-threatening complications alongside the burns.

EMT 98
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Wide Complex Tachycardia

EMS 12-Lead

David Didlake EMT-P, RN, ACNP @DidlakeDW An adult male self-presented to the ED with palpitations and the following ECG. I interpreted the ECG as VT with two primary etiological possibilities: 1. Abrupt plaque ulceration of Type 1 ACS leading to VT. The patient was very uncomfortable, dyspneic, and displayed an SpO2 90% on RA.

CAD 147
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Peculiar ST and QT

EMS 12-Lead

David Didlake, FF/EMT-P, AG-ACNP @DidlakeDW An elder female presented to the ED with worsening shortness of breath. This should prompt immediate investigation into supply-demand mismatching, or ACS. She was known to have a history of poorly controlled COPD, AFib, and multivessel coronary disease.

EMT 130
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Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

The fire department, who operate at an EMT level in this municipality, arrived before us and administered 324 mg of baby aspirin to the patient due to concern for ACS. Most studies examine undifferentiated ACS cohorts, with only a handful providing separate data. References: 1. Lindahl B, Baron T, Erlinge D, et al.

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Spinal Immobilization or Spinal Motion Restriction: Which is Safest?

NCOAE

The Eastern Association for the Surgery of Trauma (EAST) , the National Association of EMS Physicians (NAEMSP) , and the American College of Surgeons Committee on Trauma (ACS-COT) all support the recommendation against the use of spinal immobilization in patients with isolated penetrating injuries.

OR 52
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Platelet-Lymphocyte Ratio and Neutrophil-Lymphocyte Ratio: Updates in Prognosticating Fournier Gangrene in the Emergency Department

AAEM RSA

Wysoki MG, Santora TA, Shah RM, Friedman AC. Image credit: Pixabay This post was peer reviewed. Click to learn more. Torremade Barreda J, Millan Scheiding M, Suarez Fernandez C, et al. Fournier gangrene. A retrospective study of 41 cases]. 2010;87(4):218-223. Necrotizing fasciitis: CT characteristics. 1997;203(3):859-863.