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Something Winter This Way Comes

EMS 12-Lead

EMS personnel found him seated on a bench, uncomfortable, but without gross distress. MICU transport was unremarkable. A third, and final, EMS 12 Lead ECG was recorded: The precordial ST segments (even Leads I/aVL, as well) have reverted to a dramatically depressed state. But the lesion is still active!

STEMI 130
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My Burnout

The Overrun

I’ve been in EMS a long time. Of everything I’ve done in my adult life, I’ve enjoyed EMS the most, and it’s been good to me. Of everything I’ve done in my adult life, I’ve enjoyed EMS the most, and it’s been good to me. I saw our shiny new MICU vehicles become like us. I got burned out.

MICU 52
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Non-Invasive Blood Pressure Monitoring in Critically Ill Adults?

REBEL EM

PMID: 32109843 For More Thoughts on This Topic Checkout: REBEL EM: Is ATLS Wrong About Palpable Blood Pressure Estimates? appeared first on REBEL EM - Emergency Medicine Blog. to 1.12; p = 0.03 for every change in 5ug/min Lower MAP Value: aOR 0.98; 95% CI 0.98 to 0.99; p <0.01 to 1.09; p = 0.01 to 1.37; p <0.01 to 2.47; p – 0.04

ICU 102
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The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL EM

In contrast, patients in the ketamine arm had higher rates of MICU admissions. Rezaie, MD (Twitter: @srrezaie ) The post The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation appeared first on REBEL EM - Emergency Medicine Blog. The significance of 7-day survival is unclear.

MICU 52