FOAMfrat

NOVEMBER 21, 2024

Halloween may have come and gone, but for trauma patients, some true horrors linger year-round. Still lurking in the shadows are silent killers—hypothermia, acidosis, and coagulopathy—the dreaded ‘Trauma Triad of Death.' Just when things seem like they couldn't get any worse, hypocalcemia and hypotension creep in, presenting their own sinister twist.

ICU 119

ICU Emergency Department OR Ambulance 119

Dr. Smith's ECG Blog

NOVEMBER 21, 2024

Written by Pendell Meyers A woman in her 40s presented with acute chest pain and shortness of breath. Vitals were within normal limits. Here is her triage ECG: What do you think? Smith : This is classic for pulmonary embolism (PE). There are 2 key points to making this diagnosis on the ECG: 1) There is T-wave inversion which you might think is due to Wellens' waves, but the patient has active symptoms, so it is not Wellens' sydrome 2) The T-wave inversion in V1-V4 is accompanied by T-wave invers

ACS 113

ACS OR 113

SSCOR

NOVEMBER 21, 2024

Suction plays a critical role in numerous medical procedures. It’s also a key component of every tactical medical kit. Yet many first responders and other medical professionals are familiar with only one or two suction aspirators. In an emergency or when you collaborate with another agency, your familiarity with a wide range of suction equipment may be the most important factor in patient outcomes.

First Responder 105

First Responder OR 105

REBEL EM

NOVEMBER 21, 2024

A parent presents to the ED with their 6-week-old infant for evaluation of a fever. The infant was born full term and has no other symptoms. Physical exam is normal and vital signs are HR is 150 bpm, SpO2 is 99%, and a rectal T is 101.4°F (38.6°C). Blood cultures are sent and lab results from a CBC, procalcitonin, and urinalysis are as follows: WBC: 5,300/µL Hemoglobin: 12.2 g/dL Platelets: 205,000/µL Absolute neutrophil count: 2,600/µL Procalcitonin: 0.14 ng/mL Urinalysis WBC: 50–100/hpf RBC: 0

ALS 58

ALS ED EMS 58

EMOttawa

NOVEMBER 21, 2024

A common Emergency Department (ED) presentation, vaginal bleeding in pregnancy affects approximately 30% of pregnancies in the 1st trimester and 1-2% in the 2nd trimester. About half of these result in pregnancy loss. Here we will use cases to highlight an ED approach to stable vaginal bleeding in pregnancy with an emphasis on: Management of […] The post Stable Vaginal Bleeding in Pregnancy appeared first on EMOttawa Blog.

Emergency Department 123

Emergency Department ED 123