Sat.Apr 16, 2022 - Fri.Apr 22, 2022

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The Bleeding Heart

EMS 12-Lead

David Didlake, NRP, APRN, ACNP-BC @DidlakeDW Peer review provided by Dr. Steve Smith @smithECGblog A 55 y/o Male presents to a freestanding urgent care center with chest discomfort, left arm pain, nausea, and diaphoresis. He reports to staff that for the past two months, approximately, he has experienced intermittent dyspnea on exertion when walking the dog, particularly when scaling an incline.

Coronary 130
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ECG of the Week 20th April 2022 Answer

EMergucate

The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. He presents to ED complaining of increasing shortness of breath and leg swelling.

ED 130
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SGEM#365: Stop! It’s Not Always Hammer Time

The Skeptics' Guide to EM

Date: April 16th, 2022 Reference: Blom et al. Common elective orthopaedic procedures and their clinical effectiveness: umbrella review of level 1 evidence. BMJ 2021 Guest Skeptic: Dr. Matt Schmitz, Pediatric Orthopedics, Adolescent Sports Medicine and Young Adult Hip Preservation Surgeon at San Antonio Military Medical Center in Texas. Disclaimer: The views and opinions of this blog […] The post SGEM#365: Stop!

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TIRBO #7: Selecting vasopressors

Critical Care Scenarios

A practical approach to choosing and escalating vasopressors for patients in shock. A practical approach to choosing and escalating vasopressors for patients in shock.

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Travel Paramedicine

Best Practice Medicine

Travel paramedics are part of the workforce solution healthcare desperately needs. Best Practice Medicine (BPM) created and is rapidly scaling the nation's first dedicated travel paramedic agency in support of ambulance and hospital operations nationwide.

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Imaging Case of the Week 501 Answer

EMergucate

The chest x-ray shows : There is consolidation involving the left upper lobe with silhouetting of the left cardiac border … Continue reading →

EMS 130
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Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Dr. Smith's ECG Blog

Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest pain without associated symptoms. ECG was labeled ‘normal’ by the computer (confirmed by the overreading cardiologist) and the high-sensitivity Troponin I was normal at a value of 11 ng/L (Abbott Alinity assay, where normal is S in V2.

E-9-1-1 52

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Beyond the Textbook: #FOAMed in the Classroom

The EMS Educator

Learn how to create effective, meaningful learning experiences for students in your EMS classroom. Hear from fellow educators about creative ways to implement FOAMed. Benji McCollum, NRP, RN, Paramedic Program Director at Midlands Technical College describes teach-back presentations, using SMEs, and teaching hands-on skills in a virtual environment.

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Imaging Case of the Week 502

EMergucate

Following wrist x-rays are from a 38 year old with wrist pain and swelling after a fall on outstretched hand.

EMS 130
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ECG of the Week 20th April 2022

EMergucate

The following ECG is from a 52 year old male with a history of bipolar mood disorder and cardiomyopathy. He presents to ED complaining of increasing shortness of breath and leg swelling.

ED 100
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Lab case 359

EMergucate

65 year old lady presented with drowsiness and bradycardia, her venous blood gases showed the following: PH = 7.

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Lab case 358 interpretation

EMergucate

Question 1: PH = 7.28, that is mild acidaemia HCO3 = 17 mmol/L. So we have metabolic acidosis.

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