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.

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E-9-1-1 ALS EMT EMT 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. PMID: 38407212.

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

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). This originally radiated into her left arm. She also had some shortness of breath. Lindahl et al.

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Coronary E-9-1-1 STEMI ACS 109

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

It was a constant ache on the left side of his chest that forced him to stop cycling and call for an ambulance. For clarity — I’ve put these 2 tracings together in Figure-1. Figure-1: The initial ED ECG ( = E CG # 1) — with comparison to the patient’s baseline ECG done 4 years earlier ( = E CG # 3).

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E-9-1-1 Coronary STEMI Emergency Department 52

NAEMSP

JANUARY 5, 2023

1] The Adult Cardiac Arrest ACLS algorithm currently includes epinephrine and either amiodarone or lidocaine as recommended pharmacologic therapies. 1] Table from Hamam et al. 9] Figure from Clemency et al. 1] References 1. Patients in cardiac arrest certainly are no exception. vs 19.7%) access (figure below).

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E-9-1-1 Advanced Life Support Epinephrine Life Support 52

Dr. Smith's ECG Blog

AUGUST 9, 2018

Ambulated to ambulance for eval. It's important and useful to note that 1) Over 90% of healthy young men have up to 3mm ST elevation in one or more precordial leads normally (Atlas of Electrocardiography by K. My Comment , by K EN G RAUER, MD ( 8/9/2018 ): == Our thanks to Lou B for this insightful case.

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Paramedic Training Spot

DECEMBER 8, 2021

Basic Combat Training Basic Combat Training , or BCT, is approximately 10 weeks and will take place at 1 of the 4 locations available. Phase 2 lasted 8 weeks and built on the critical care skills acquired in phase 1. Phases 1 and 2 are conducted at Fort Sam Houston in San Antonio, TX. The CCFP consisted of 3 phases.

Paramedic 52

Paramedic E-9-1-1 EMT EMT 52

ECG Medical Training

DECEMBER 4, 2016

Cardiac Care Show – Episode #1: Mechanical CPR Hello, and welcome to the Cardiac Care Show. In addition, CPR in the back of a moving ambulance is potentially dangerous and it makes it difficult to maintain CPR quality. References Levy M, Yost D, Walker RG, Scheunemann E, Mendive SR. doi:10.1016/s0140-6736(14)61886-9.

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CPR E-9-1-1 Defibrillator Ambulance 52

not-on-my-shift

FEBRUARY 15, 2018

Not E K G, like how the septics spell. Suddenly see the blatant MI on the printout, look panicked, turn away from the patient biting your fist and say, “Everything’s fine” -Panic and run out of the ambulance screaming. And by monitored, they were probably having some form of ECG (Electrocardiogram.

Heart Attack 52

Heart Attack E-9-1-1 OR Ambulance 52

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.

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EMS E-9-1-1 Operating Room Emergency Department 98

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance. 2022 Jan;39(1-2):35-48. J Neurotrauma.

ED 98

ED E-9-1-1 ALS OR 98

EMDocs

DECEMBER 18, 2023

F) in the ambulance. This was based on studies that demonstrated qSOFA was more specific but less sensitive than its counterparts (Table 1). 1 Since 2021, attempts to identify a single screening tool with optimal sensitivity and specificity to predict which patients will develop sepsis or septic shock have been ongoing.

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E-9-1-1 ALS Emergency Department Plasma 91

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.” Published May 1, 2023. France E, Bourn S, et al. Published December 1, 2021. 2011;12(1):77-83. 2011;212(1-3):256-9.

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Don't Forget the Bubbles

AUGUST 13, 2023

There is a 1:3 or 30% risk of recurrence of the febrile convulsions and occur within 2 years of the first episode. There is a very low risk of developing epilepsy following febrile convulsions (approximately 2% following simple seizures and 5% following complex seizures as compared to 1% in the general population).

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E-9-1-1 ED OR First Aid 97

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.

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

Dr. Smith's ECG Blog

JANUARY 5, 2025

Beats 1-2 and 7-10 are wider, uniform, and regular. I doubt retrograde conduction because the RP interval is variable between 8 and 9. On Sunday, the patient complained of dyspnea and angina while ambulating. Wrong vessel PCI is very common, it happens in about 1 in 4 NSTEMIs. Repeat ECG is shown.

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E-9-1-1 Coronary OR Ambulance 77

Don't Forget the Bubbles

FEBRUARY 5, 2025

Ali, a 12-year-old male, is pre-alerted by ambulance to ED. The pre-alert from the ambulance states his GCS is 12 (E3V4M5), moving all 4 limbs with an obvious large haematoma to the back of his head. E: Exposure and Environmental Control: Fully expose to check for other life-threatening injuries while maintaining normothermia.

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E-9-1-1 CPR Ambulance ED 59