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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. I saw our shiny new MICU vehicles become like us. Substance use is up among all populations, and I’d bet we’re no different. So what exactly IS provider burnout? 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. which was not statistically significant [2]. The biggest issue with this trial is there was only one blood pressure done per patient. to 1.12; p = 0.03

ICU 116
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The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL EM

What They Did Prospective, randomized 1:1, parallel-assignment, open-label, single-center trial Randomization process: Sequentially numbered opaque, sealed envelope in blocks of 8 that directed the team to use either etomidate (0.2 Induction drug doses were consistent with the doses recommended in the trial protocol.

MICU 52