ALiEM

FEBRUARY 20, 2024

What agent would most likely be responsible for these ECG findings? Cyclobenzaprine Digoxin Flecainide Sotalol Reveal the Answer 3. Flecainide Background [1-3] Flecainide is a class IC antiarrhythmic that binds to the voltage-gated sodium channel of the myocardium, slowing depolarization and prolonging phase 0 of the action potential. In toxicity, bradydysrhythmias, AV nodal blockade, ventricular tachycardia, and rate-dependent QRS widening occur.

Life Support 183

Life Support Overdose ED 183

American Ambulance Association

FEBRUARY 20, 2024

The Centers for Medicare & Medicaid Services (CMS) released a new “Reporting for Rural and Super-Rural Organizations Tip Sheet” on February 16, 2024. This guide assists ground ambulance organizations in […] The post CMS Releases New GADCS Tip Sheet for Rural, Super Rural Services appeared first on American Ambulance Association.

Ambulance 130

Ambulance 130

EMergucate

FEBRUARY 20, 2024

The following ECG is from a 60 year old lady with chest pain and dyspnoea a few hours after finishing a triathlon. At the scene she was hypothermic at 32 degrees.

ED 130

ED 130

Dr. Smith's ECG Blog

FEBRUARY 20, 2024

A 20-something type, 1 diabetic presented by EMS with altered mental status. Blood pressure was 117/80, pulse 161, Resp 45, SpO2 100 on oxygen. Here is the 12-lead ECG: Wide complex tachycardia What do you think? The providers thought that this wide QRS was purely due to (severe) hyperkalemia. They treated with 4 ampules (200 mL) of bicarb and 1 gram of calcium gluconate.

EMS 123

EMS OR 123

EMergucate

FEBRUARY 20, 2024

The neck x-ray is from an adult patient with dysphagia after dinner. What can be seen?

EMS 130

EMS 130

EMT Training Station

FEBRUARY 20, 2024

In the fast-paced and critical world of emergency medical services, EMTs are often the first healthcare professionals to interact with patients in distress. The initial assessment of a patient can be crucial in determining the course of treatment and can significantly impact outcomes. This is where the SAMPLE history and OPQRST pain assessment come into play, serving as essential tools in an EMT’s diagnostic arsenal.

EMT 96

EMT EMT Emergency Medical Services Allergic Reaction 96

EMergucate

FEBRUARY 20, 2024

Answers: PH = 7.34, that is very mild acidaemia. HCO3 = 14 mmol/L. So, we have metabolic acidosis. Next we need to calculate Anion Gap and compensation.

100

100

EMergucate

FEBRUARY 20, 2024

80 year old lady with type 2 DM was referred for high blood sugar.

130

130

EMDocs

FEBRUARY 20, 2024

Welcome to the emDOCs Videocast – please subscribe to our YouTube channel. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Today we focus on pancreatitis. Fluids in Pancreatitis #1 : de-Madaria E, Buxbaum JL, Maisonneuve P, et al; ERICA Consortium. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis.

E-9-1-1 83

E-9-1-1 ICU ALS OR 83

Paramedics World

FEBRUARY 20, 2024

Trying to get through a hectic workday is already a challenge, let alone having to suffer constant headaches while at it. It’s true that dealing with persistent headaches after sustaining… The post Managing Post-Injury Headaches in the Workplace appeared first on Paramedics World.

Paramedic 52

Paramedic 52