EMS 12-Lead

APRIL 8, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review by Dr. Stephen Smith @smithECGblog I was reviewing ECG’s in our LifeNet database and happened upon this one without any knowledge of clinical circumstances. Figure 1 Raw findings include Sinus Rhythm, narrow QRS duration, small q-waves in Leads I / aVL / V5 / V6 (which is not entirely atypical), an inverted P-wave in V1 to suggest possible lead malposition, a normal QRS/T angle, and a dispersion of alterna

STEMI 130

STEMI ALS Coronary CAD 130

The Skeptics' Guide to EM

APRIL 2, 2022

Date: March 31st, 2022 Reference: Butt et al. Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. AEM March 2022 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. She is the cofounder of FOAMcast and is a pulmonary embolism […] The post SGEM#363: View Master – Virtual Reality Immersion Tool to Reduce Pediatric Anxiety fir

Emergency Department 130

Emergency Department ALS ED OR 130

EMergucate

APRIL 6, 2022

A 67 year old female is BIBA as a priority 1 OHCA. There is limited history from the paramedics. They report the husband found the patient unresponsive.

Paramedic 130

Paramedic EMS 130

Critical Care Scenarios

APRIL 3, 2022

Reviewing the different approaches to placing central venous catheters in the subclavian vein. Reviewing the different approaches to placing central venous catheters in the subclavian vein.

100

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EMS 12-Lead

APRIL 2, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Expert commentary provided by Dr. Ken Grauer CASE 1 An 82 y/o Male called 911 for sudden onset dizziness while at rest. Upon arrival he was found alert and oriented, and without gross distress. He denied difficulty breathing, epigastric pain, or chest discomfort. BP 110/67 HR 68 RR 14 (non-labored) SpO2 95 RA Physical exam revealed slight pallor and diaphoresis.

ALS 130

ALS STEMI Coronary OR 130

Dr. Smith's ECG Blog

APRIL 8, 2022

Case written and submitted by Brandon Fetterolf MD, edits by Meyers A woman in her early 30s with multiple autoimmune disorders including vasculitis presented with 2-3 hours of mid-left side chest discomfort with radiation to neck and left arm and associated with nausea, diaphoresis and dizziness. Initial ECG on presentation at 1554 (no prior for comparison): What do you think is happening to his 30s woman?

STEMI 52

STEMI Coronary ACS ED 52

EMergucate

APRIL 3, 2022

The following chest x-ray request reads ’70 year old with central chest pain. Consolidation?

EMS 130

EMS 130

EMergucate

APRIL 3, 2022

Question 1: PH = 7.55, that is moderate alkalaemia. pCO2 = 23 mmHG, so we have respiratory alkalosis. This can be acute or chronic respiratory alkalosis.

OR 100

OR 100

EMergucate

APRIL 4, 2022

A 67 year old female is BIBA as a priority 1 OHCA. There is limited history from the paramedics. They report the husband found the patient unresponsive.

Paramedic 100

Paramedic EMS 100

EMergucate

APRIL 3, 2022

55 year old man was found unresponsive, his blood gases showed the following: PH = 7.

100

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