Tag Archives: Paramedic

"What's wrong with Mr. Wilson?"

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  It is a sunny January afternoon at the ER when you are called to see a 57 year old male complaining of feeling "really sick". You find your patient lying in the bed in room 3. He looks pale and short of breath. You introduce yourself and ask him why he has come in […]

HyperK and Shades of Grey: Myths and Facts about Hyperkalemia Part II

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Today we continue our discussion about the myths and facts of hyperkalemia with Dr. Brooks Walsh, author of the Mill Hill Ave Command blog. We also feature contributions from Dr. Stephen Smith, of Dr. Smith's ECG Blog. If you would like to refresh your memory on Part I visit here.             […]

HyperK and Shades of Grey: Myths and Facts about Hyperkalemia Part I

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Happy New Year everybody! We start 2013 with a continuation of our discussion about the field treatment of hyperkalemia.  It might be helpful to review the first part of the discussion," HyperK and Shades of Grey" here.  We are fortunate to have as a guest contributor Dr. Brooks Walsh of the Mill Hill Ave Command blog. […]

2013 STEMI Guidelines: EMS is Accountable

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On Monday, the American College of Cardiology Foundation and the American Heart Association released the 2013 Guidelines for the Management of ST-Elevation Myocardial Infarction. Their last updates to these guidelines were in 2004 and 2006, so this is an important milestone. If you have been following our blog and podcast, most of the changes will […]

Hyper-K and Shades of Grey

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Good morning all… It's a beautiful fall Sunday morning, and you and your partner are enjoying an nice cup of coffee. But of course, the tones go off, and you are called to the residence of a 52 year old female, "sick". You recognize the address, you've been there before.  Upon your arrival, you find […]

53 Year Old Male: Severe Leg Pain–Conclusion

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This is the conclusion to 53 year old male: Severe leg pain. You may wish to review the case. Before we begin, my apologies for the delay in posting this conclusion. I live in coastal NY, and we got hammered by Hurricane Sandy. It has taken me a little time to get all caught up. […]

51 year old female CC: Near Syncopal Episode – Conclusion

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This is the conclusion to a 51 year old female CC: Near Syncopal Episode. If you haven't read the first part we highly recommend it! When we left off, our crew was attending to a 51 year old female who had almost passed out in a stadium tunnel during a college football game. We received […]

51 year old female CC: Near Syncopal Episode

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This case comes from a reader who wishes to remain anonymous, as always details have been changed to protect patient and provider privacy. You're working an overtime shift at a college football game on a hot Saturday in August, when a man flags down your crew. You head on over and are directed into one […]

53 Year Old Male: Severe Leg Pain

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This great case was sent in by faithful reader Bryan Brzycki, a Medic from Beaufort County. As usual, some minor information may be changed to protect patient confidentiality. It's a cloudy fall morning when the tones go off and your unit is dispatched to the residence of a 53 year old male.  When you and […]

24 year old male: "Anxiety Attack" – Conclusion

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This is the conclusion to our case 24 year old male: "Anxiety Attack". Be sure to read Part I before the conclusion! When we left off, our providers were on scene with a young man, in custody, who was pale and had a radial pulse too fast to count. A narrow complex tachycardia was present […]

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