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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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.

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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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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.

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EMDocs

FEBRUARY 7, 2024

Despite a plateau in overall union membership of around 10% in 2023 1 , major labor actions shook the U.S. 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. 2013 Dec;14:1-0.

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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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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?

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Don't Forget the Bubbles

NOVEMBER 29, 2023

A 12-year-old male is being transported by ambulance after a road traffic accident. Intensive Care Research , 1 (3-4), pp.60-64. Epub 2014 Sep 9. Pappal RD, Roberts BW, Mohr NM, Ablordeppey E, Wessman BT, Drewry AM, Winkler W, Yan Y, Kollef MH, Avidan MS, Fuller BM. 2013 Jan;31(1):222-6. His name is Ben.

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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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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

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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.

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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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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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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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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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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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