ALS Ambulance E-9-1-1 
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. Stein et al.
Dr. Smith's ECG Blog
DECEMBER 19, 2023
[link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. The ambulance report says "BP continued to drop during transport and pt remained cold and clammy." But there are other KEY changes!
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Don't Forget the Bubbles
JUNE 30, 2023
He has already climbed Ben Nevis in Scotland, visited the Gobi desert (possibly from the comfort of his parents 4 x 4, but who’s judging) and has his bronze D of E nailed. She calls out her findings: A – OK B – 1 puncture mark to the anterior left chest wall, covered with a three-sided dressing. The trauma call goes out.
EMDocs
NOVEMBER 21, 2023
Could not ambulate. Epidemiology: Prevalence of hypoPP is approximately 1 per 100,000. References: Statland JM, Fontaine B, Hanna MG, et al. 2022;26(1):123-125. 2013 Jan;47(1):41-5. Venance SL, Cannon SC, Fialho D, et al; CINCH investigators. 2006 Jan;129(Pt 1):8-17. 2004 Nov 9;63(9):1647-55.
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. Al-Essa MA, Ozand PT.
EMDocs
MARCH 30, 2024
Comprehensive physical exam is unremarkable, but she does have pain at the T-12/L-1 region of her back. Her patellar reflexes are 1+ bilaterally, no ankle clonus is noted, and she denies any saddle anesthesia or bowel/bladder incontinence. CT of lower spine is ordered and shows the following: 1 What is the diagnosis?
Dr. Smith's ECG Blog
NOVEMBER 15, 2023
She was brought in by ambulance and received aspirin and nitroglycerin en route. IMPRESSION: 1. We know that most type 1 acute MI due to plaque rupture and thrombosis occurs in lesions that are less than 50% (see Libby reference). Lindahl et al. This originally radiated into her left arm. Stroke-volume:50 ml.
Expert insights. Personalized for you.
139 
Let's personalize your content