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The crew transferred the patient to the ambulance and noticed weak radial pulses (BP unobtainable). Crew notifies the received ED of an incoming post-arrest patient and notes a sinus bradycardia on their monitor, as seen in Figure 2. Pacing was continued in the ED, with identical settings. Several learning points here.
Simulation report 2/2/23 Interdisciplinary SIM ED/ Anaesthetics Summery: Head injury requiring intubation post agitation and seizure, ambulance called by police … Continue reading →
The patient is re-assessed once secured in the ambulance. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). On ED arrival ROSC is achieved. The crew starts with placing the patient on the monitor, and they notice a heart rate of 60.
The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. However, the ICU is full and the patient will likely be boarding in your ED for a bit before coming upstairs.
The pain makes it difficult for him to ambulate unassisted through his home. About three percent of emergency department (ED) visits are due to skin and soft tissue infections, but data are lacking on the contribution of chronic wounds to this number. Today, he notes worsening swelling and a blister forming near his left ankle.
Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes? This is Bob’s eleventh visit […] The post SGEM#291: Who’s Gonna Drive you to…the ED – with Lights & Sirens? Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes? Annals of Emergency Medicine.
They were randomized to ceftriaxone 2gm intravenous (IV) in the ambulance or usual cares (fluids and supplementary oxygen) until arrive to the ED. A randomized control trial (RCT) done in the prehospital setting enrolled 2,698 patients.
In this EM Cases CritCases blog - a collaboration between STARS Air Ambulance Service, Mike Betzner and EM Cases, a middle aged woman presents to a rural ED with headache and vomiting, normal vital signs with subsequent status epilepticus and serum sodium of 110 mmol/L.
Approximately 10% of geriatric patients (adults over the age of 65) transported via ambulance will have a mental status altered from baseline, otherwise known as delirium. ED-based protocols have already been created to aid in the treatment of patients with this condition.
Background : Emergency Department (ED) overcrowding limits patient care in the prehospital and hospital system. A program was implemented to decrease the time to patient handoff from EMS arrival to ED staff, also known as the delivery interval and total turnaround interval.
1 2 3 4 This article will focus on three lower extremity (LE) nerve blocks commonly used for acute lower extremity pain in the ED. This is a motor sparing block – so it will allow your patients to ambulate. Door-to-block time: prioritizing acute pain management for femoral fractures in the ED. J Gerontol A Biol Sci Med Sci.
A 68 year old female is brought to ED by ambulance. her husband found her this morning confused and called the ambulance. He had last seen her last night before bed when she was well. PMH – H…
I was about two months into a family practice internship when I went to visit my uncle whose neighbor happened to be an ED resident, Dr. Clarke said. Firsthand Account An ambulance bay at the LA County-USC Hospital in 1978. A cross-country move brought him to Delaware, where he served as the director of a hospital ED in Milford, Del.
Private ambulance companies Most private ambulance companies are always hiring. Positions at ambulance companies tend to be a little more flexible especially for those with other jobs or are in school. It's important to keep in mind that you are not functioning as an EMT when you're an ED Tech/Assistant.
75 year old man was brought to ED by ambulance in VF cardiac arrest , CPR in progress. His venous blood gases showed the following PH = 7.14 pCO2 = 53 mmHg
He was brought in to the ED by ambulance. A 44 year old man was found unconscious at home. On arrival GCS =3 with fixed and dilated pupils. Temperature 25.9, hypotensive.
An 80 year old man is brought to your ED by ambulance. He was found at home disorientated and confused. Vitals: BP 80/60 PR 120/min RR 30/min His blood tests:
A 75 year old man is brought to your ED by ambulance after a fall at the nursing home he resides in. His GCs is 15 with normal vital signs. His blood tests show:
88 year old lady with known COPD was brought to ED by ambulance with shortness of breath. She was on 6L Oxygen. Arterial blood gas was obtained and it showed the following: PH = 7.25
An 82 year old female is brought to your ED by ambulance which was called when the patients daughter noted that she was confused and hot. The patient complains of abdominal pain and nausea. Vitals:…
A 17 year old is brought to your ED by ambulance complaining of feeling unwell with fevers cough and generalised body aches. Vitals; BP 100/60 PR 110/min T 39 His blood test show:
A 34 year old woman is brought to ED by ambulance. She is travelling WA with her partner, who witnessed her lose consciousness, bite her tongue and experience jerking of her arms and extended legs …
A 50 year old man is brought to your ED by ambulance. He complains of feeling unwell, fever, cough and difficulty breathing. He denies any chest pain or history of previous heart problems. On exami…
A 27 year old man is brought to your ED by ambulance after taking an overdose of a commonly used medication. He is tachypnoeic with a normal mental state and blood pressure. His ABG (RA) shows:
A 45 year old female is brought in to your ED by ambulance. She was found unconscious at home. She had a history of NIDDM on treatment. There was some diarrhoea and vomiting the day before.
An 82 year old man is brought to your ED by ambulance after two falls overnight. He complains of feeling generally unwell with pain all over. He has been feeling lethargic for two weeks, since his …
A 62 year old man presents to your ED by ambulance. He has had vomiting and diarrhoea for the last week and complains of abdominal pain. He is unable to keep anything down, has severe weakness with…
A 14 year old female is brought in to your ED on a priority one by ambulance. She has had a one week history of vomiting and diarrhoea. On examination: Obtunded extensor posturing BP 40 systolic PR…
She was brought to ED by ambulance after collapsing in a shower. 40 year old healthy ICU nurse, works with COVID-19 patients. Her pulse rate was 120 and blood pressure was 120/80. Her blood gases (…
A 55 year old female with type 2 Diabetes is brought to your ED by ambulance. She has been unwell for two weeks with vomiting and diarrhoea. Her past medical history includes 3 MI’s, early CO…
A 30 year old man is brought to your ED by ambulance. He was found lying on his garage floor unconscious by his girlfriend after an earlier argument. He is a NIDDM on Metformin and has some psychol…
A 30 year old man is brought to your ED by ambulance. He was found lying on his garage floor unconscious by his girlfriend after an earlier argument. He is a NIDDM on Metformin and has some psychol…
A 30 year old man is brought to your ED by ambulance. He was found lying on his garage floor unconscious by his girlfriend after an earlier argument. He is a NIDDM on Metformin and has some psychol…
A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…
A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…
A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…
A 65 year old female is brought to ED via ambulance on a priority 1. According to the paramedics the patient has taken an overdose of benzodiazepines and alcohol. Her GCS is 3 and the team is prepa…
A 70 year old female is brought to your ED by ambulance after being found by her husband on the floor of her home. Vitals: BP 150/70 PR 95/min RR 14/min Her ABG (FiO2 0.5)
A 58 year old man has been behaving oddly at home for the last few days and is brought to your ED by the police and ambulance personnel. He required 5mg of IM midazolam to facilitate his transfer t…
A 26 year old man is brought to your ED by ambulance. He has had 3 days of fevers, sore throat and persistent vomiting. He looks unwell. Vital signs: HR 150/min BP 100/60 His blood results show:
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