Archive for November2010

78 year old female CC: Headache

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Here’s a case submitted by a faithful reader by the name of Nick Mercer. EMS is dispatched to “possible heart attack” in rural Montana. On arrival they find a 78 year old female lying on the couch where her friends found her in the morning. The patient is awake and oriented but not alert. Speech […]

On the relative wisdom of synchronized cardioversion without sedation

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If the patient begs you not to shock, you probably shouldn’t shock!

Help for a blogger!

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In case you didn’t know, Matt McDowell is the author of the S.A.F.E. Firefighter blog here at He’s a lieutenant with Bluffton Township Fire District (BTFD) which is just over the bridge from Hilton Head Island. While I don’t know “Jeebs” as well as I would like, we have many mutual friends and I […]

69 year old male CC: Chest pain

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Christopher A. Watford from the My Variables Only Have 6 Letters blog has submitting a very interesting case study (actually he submitted two but you’ll have to wait for the other one). EMS is called to the residence of a 69 year old male complaining of chest pain. On arrival the patient is found sitting […]

How long does it take to transmit an ECG to the emergency department with a Lifepak 12 and In Motion Gateway?

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Setting aside the issue as to whether or not ECG transmission is a “million dollar solutions to a 5 cent problem” I thought it would be interesting to find out exactly how long it takes to transmit an ECG to the emergency department.

The forgotten history of fire suppression on Hilton Head Island

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Several months ago I did some research on the history of the fire service on Hilton Head Island. What I uncovered exceeded my expectations. I had known that Hilton Head Island, located between Charleston and Savannah, was an important base of operations for the Union blockade of the Southern ports during the Civil War. What […]

Conclusion to case study "Changing Channels"

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Changing Channels: Patient follow-up.

43 year old female CC: Chest pain

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She is anxious and diaphoretic.

Tom Bouthillet and Jamie Davis discuss cardiac arrest and the chain-of-survival

Discussion on cardiac arrest and the chain-of-survival.

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