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SGEM#356: Drugs are Gonna Knock You Out – Etomidate vs. Ketamine for Emergency Endotracheal Intubation

The Skeptics' Guide to EM

Intensive Care Med 2021 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a professor of Emergency Medical Services at Tacoma Community College’s paramedic program. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial.

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What Lies Beneath

EMS 12-Lead

A 65 y/o Female was admitted to the ICU for septic shock. The combination of prolonged QT and deep T wave inversion throughout the precordium is typical of Takotsubo syndrome, or Stress Cardiomyopathy – which can occur in the context of a physiologically distressed ICU patient, further compromising their hemodynamics.

E-9-1-1 130
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Hyperkalemia

EMS 12-Lead

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGBlog An adult female called 911 for chest discomfort and difficulty breathing. Thankfully, the patient experienced an uncomplicated ICU stay and subsequently made a full recovery.

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EMS WEEK 2020: Aftermath

The Overrun

We say it to cops and firefighters because we as a society have no idea why someone would willingly run to danger while others run away from it. If my memory is correct, the comedian Denis Leary; who established a foundation to support firefighter causes said it. And they were right. Those aren’t my words. And he was 100% right.

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