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Thursday, May 12, 2016

***Abnormal EKG Unconfirmed*** CONSIDER BRUGADA SYNDROME, Consider Ischemia

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EMS crews respond to the report of a sick 70 year old male. An ECG is obtained. As your crew performs patient assessment and works on obtain...
Tuesday, April 5, 2016

Way Too Overdue: Subtle STEMIs, Stubborn Platelets. Part 2/2

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EMS is attending to a patient with chest discomfort. A 48 yo female presents to EMS with hypertension, right sided chest pain, and the foll...

Way Too Overdue: Subtle STEMIs and Stubborn Platelets March 2016 PART 1/2

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SUBJECTIVE: EMS responds to the report of a 48 yo female with chest pain. Upon arrival, the patient is in mild distress and reports sharp, ...
Monday, August 31, 2015

The Agony of the Beta Agonists PART 2 AUGUST 2015

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We left off with a rather critically ill patient. EMS responded to a patient in respiratory failure: The Agony of the Beta Agonists PART 1...
Sunday, July 19, 2015

Those Nursing Home Nurses Were Right about the Magic Nasal Cannua- Or Were They? HFNC, HFFM, Intensive Care JULY 2015

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Some Nasal Background For years, proponents of rapid sequence intubation have tried to identify the most reliable way to prevent desatura...

The Agony of the Beta Agonists PART 1 of 2 JULY 2015

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This was shared from a friend, provider, and colleague. Interesting case. Details changed to protect the innocent, respect privacy laws, com...
Thursday, April 23, 2015

April 2015: Sighting the Subtlety Down Below

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CASE:  A 63 y/o gentleman calls 911 for "chest pressure" and indigestion. The patient is nauseated but denies LOC, SOB, or diz...