You've been called to a residence for a CVA but BLS arrives first and cancels your response. Since you've already arrived you decide to lend a hand in carrying...
Hi, Don't see any problem with this case for the EMS/ALS team. As for the Bradycardia, the patient seems to be hemodynamically stable, In addition, since the...
This looks like the new famous ACLS atrial fibrillation guidelines and a possible testing scenario for the paramedic examination. The recommendation is IV,...
Dispatched to a factory to find a 43y/o female laying on the floor, supine. Pt. slow to respond and speaking softly. Pt. complaining of near syncope...
Excellent data quality. Any tips for those who have trouble getting a clean tracing in the prehospital environment? Tom ... -- Tom Bouthillet Lieutenant /...
You did all the right things. Any patient with signs of inferior MI must have a right sided. You did that and found out that she has RCA involvement ...
Hi, I was wondering what you would say about the attached ECG. A 21 year old male, with no history or family history, complains on upper back pain and from...
... ************** New year...new news. Be the first to know what is making headlines. (http://www.aol.com/?ncid=emlcntaolcom00000026) Forwarding this for a...
Looks a bit brugadaish to me. Greetings to the list from niseko japan P Sent from my iPod On 03/01/2009, at 4:52 PM, "Dror Lederman" <dror.lederman@...> ...
It does look quite a bit like Brugada. If it were an older person with chest pain, I'd say it was an incomplete RBBB with anterior STEMI, but given the...
It is a near normal EKG, though there are inferior Q waves which could be due to old inferior MI. There is no acute ischemia or injury evident on this EKG....
Kawasaki's is a great thought. And the kid wouldn't have necessarily had the rash and fever recently. The coronary anuerysm may have developed months ago,...
She was on aggrenox... orthostatic BPs would be interesting. Enroute she complained of RLQ abdominal pain, clearly distressed enough to get through a language...
Not sure what you are implying. I wouldn't also. But why treat her? according to which protocol? why fluids? her BP is normal. No signs of poor perfusion, or...
I would suspect the fluid challenge was in case of severe hypovolemia. Other than being suspicious of the bradycardic episodes and syncope reocurring there...
Would there not be evidence of this in the cath lab?? ... From: "Stephen Smith" <smith253@...> Kawasaki's is a great thought. And the kid wouldn't have...
dceresa@...
Jan 4, 2009 12:03 pm
11012
Yes, the coronary aneurysm would be present and visible on angiogram. However, if patient arrested before the cath was done, (Nick says patient arrested on...
Dang, somehow rest of message was deleted. What I meant to write is if patient arrested before cath, then CPR/ACLS would take priority over doing cath - and if...
Was he cathed? I can't remember reading that. If he was, I would love to know the result. And if he wasn't, how do they know it was a STEMI? Did he have...
Greetings all, Less than a week ago, over 100 EMS minded people from all across the country met virtually to discuss the most pressing issues facing EMS today....
I thought I read a post that there was no findings on the cath? Dan Ceresa ... From: "Klaus Skrudland" <lapsklaus@...> Was he cathed? I can't remember...
dceresa@...
Jan 4, 2009 8:36 pm
11017
One other thought I had about this EKG is that if the child had hypertrophic CM, he could have had extensive myocardial bridging, which occaisonally can cause...
If there were no other findings for cardiac source then a massive PE would have to be in the differential. Although I do not know the stats on pediatric...
Reading them online from Yahoogroups or from your email? If from Yahoogroups online, you will not see the attachments - have to change preferences to get the...
How many of you are doing cardiac enzyme testing in the field? How about point-of-care testing at all, other than glucometers? How many of you calculate TIMI...
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