Core EM

NOVEMBER 30, 2024

The Case An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. Upon transfer to the MICU, she remained hypotensive and CXR revealed multifocal pneumonia. ECG approach to takotsubo syndrome: ECG cases: EM cases. link] Khalid, N.

Coronary 130

Coronary STEMI MICU ACS 130

EMS 12-Lead

AUGUST 14, 2022

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

STEMI MICU CAD Coronary 130

REBEL EM

FEBRUARY 8, 2024

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 126

ICU MICU ALS EMS 126

REBEL EM

AUGUST 29, 2022

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

MICU ICU OR Emergency Department 52

The Overrun

AUGUST 17, 2022

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

MICU EMT EMT Paramedic 52