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Modern, fully equipped ambulances with well-trained paramedics are marvels, providing services that save lives and maintain seriously injured or ailing patients status before they reach an appropriate medical facility. But that goal is only achieved when technicians aboard the ambulance practice safe procedures.
Authors: Rahul Ramraj, MD (Emergency Medicine Resident Physician, Zucker School of Medicine/Northwell); Daniel Jafari, MD MPH (Assistant Professor of Emergency Medicine and Surgery, Zucker School of Medicine, Hofstra Northwell) // Reviewed by: Sophia Grgens, MD (EM Physician, BIDMC, MA); Cassandra Mackey, MD (Assistant Professor of Emergency Medicine, UMass Chan Medical School); Alex Koyfman, MD (@EMHighAK) Welcome to EM@3AM, an emDOCs series designed to foster your working knowledge by providin
Written by Jesse McLaren An 80 year old with a history of CHF, ESRD on dialysis, and multiple prior cardiac stents presented to the emergency department with 3 days of intermittent chest pain and shortness of breath that resolved after nitro, which felt like prior episodes of angina. The patient was pain free on arrival, and below are the prior and new ECG.
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