This is Part 1 of the conclusion to 15 year old male CC: fall from vehicle. Lots of great comments, including an unexpected sidebar discussion on appropriate C-spine clearance! All of our cases on EMS 12-Lead have been altered from their original form to protect patient and provider privacy and it appears I changed things […]
It has been a busy afternoon as the local schools are out for the Thanksgiving holiday. You've shift traded to get a longer vacation and are working with a newer paramedic. It's not long after dinner when you're paged out for a motor vehicle collision with an ejection. The details are hazy, but first responders […]
I received an email from a ZOLL rep this morning that had a file attachment called "AutoPulse Technical Report #3". The report shows a crash test with a mannequin outfitted with either the AutoPulse or the LUCAS compression device. Wouldn't you know it? The LUCAS device lost. Ladies and gentlemen: the gloves are off!
Here's an interesting case sent in by faithful reader Carl R. Christiansen, Paramedic, from Norway. As usual, changes have been made to protect patient confidentiality. It's an early Sunday morning when you are dispatched to a hotel for a 41 year old female with chest pain. You and your partner enter the hotel room and […]
This is the discussion to 64 year old male CC: Indigestion. If you recall, we had a stubborn gentleman complaining of indigestion with a significant cardiac history. Considering the symptoms kept our patient awake, are highly suggestive of a coronary event, and we have uncompensated hypotension, we should have a keen interest on any ECG […]
As I've mentioned on several different occasions, it's a huge mistake to wait until a tragedy occurs to explain the truth about response times to your community. Response times should be measured from the patient's perspective. In other words, from the moment the dispatcher picks up the phone and says, "9-1-1 what is your emergency?" […]
This is the discussion for 63 year old male: Chest Pain. Many of you thought the original 12 leads showed Wellens' Syndrome. Lets review some key points about the T wave inversions of Wellens' for a moment: They occur when an occluded artery is reperfused, spontaneously or otherwise They are always recorded during a pain […]