Core EM

JANUARY 25, 2024

Disposition to the psychiatry floor, medicine step down unit, or MICU should be guided by the degree of the patient’s vital sign abnormalities, the presence or absence of autonomic instability, and the patient’s response to therapy in the emergency room.

MICU 246

MICU Emergency Department ED OR 246

EMS 12-Lead

AUGUST 14, 2022

MICU transport was unremarkable. Here the ST segments are not so deep, nor are the T waves so wide and bulky, because of improved coronary flow at the level of the occlusion. But the lesion is still active! This is demonstrated by lingering Hyperacute T waves in V2-V5 (i.e. hyperacute in their own rite despite attenuated ST segments).

STEMI 130

STEMI MICU CAD Coronary 130

REBEL EM

FEBRUARY 8, 2024

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 for every change in 1mmHg Higher BMI: aOR 1.04; 95% CI 1.01 to 1.09; p = 0.01 for an increase in 1 Increased Patient Age: aOR 1.31; 95% CI 1.30 to 1.37; p <0.01 for every 10 years Radial Arterial Line Location: aOR 1.74; 95% CI 1.16

ICU 126

ICU MICU ALS EMS 126

REBEL EM

AUGUST 29, 2022

In contrast, patients in the ketamine arm had higher rates of MICU admissions. The care team and outcome assessors were unblinded to the study arm, which may bias the results. The significance of 7-day survival is unclear. They were more functional at baseline, favoring etomidate which is the opposite of what investigators found.

MICU 52

MICU ICU OR Emergency Department 52

The Overrun

AUGUST 17, 2022

I saw our shiny new MICU vehicles become like us. As things progressed, I saw the change in people, even some I worked with, as they stopped believing in science and data, and made a strand of unthinking protein choose a political ideology. Scarred, scratched up, dented, and check engine lights on.

MICU 52

MICU EMT EMT Paramedic 52

Core EM

NOVEMBER 30, 2024

Upon transfer to the MICU, she remained hypotensive and CXR revealed multifocal pneumonia. She was taken urgently to cardiac catheterization, which revealed mild diffuse coronary artery disease without occlusion and an estimated Ejection Fraction (EF) of 45%. High-sensitivity troponin peaked at 61 and BNP was normal.

Coronary 130

Coronary STEMI MICU ACS 130