Recent content by medic2EMSdoc

VINDICATES - Mnemonic for differential diagnosis V - Vascular I - Infection, Inflammation N - Neoplasms D - Drugs (toxins), Degenerative I - Iatrogenic, Idiopathic C- Congenital/inherited/developmental A - Autoimmune, Allergy, Anatomic T - Trauma E - Endocrine/metabolic...

@rescue1 gave a great summary of general guidelines for blood pressure management in the varied emergent hypertension scenarios. Although there is alot of debate on how low is too low for ICH. Many trials have mixed data that <140 has more bad outcomes than good outcomes. Key point summary...

1) After some additonal review of more current research and information, I feel that my opinion has changed on the matter of L&S use in EMS. I feel that it is a very complex issue that will not have a black and white answer that will fit for all ems systems. Instead of trying to reinvent the...

You guys have made it clear that you don't think this is a place for cases; sorry for bothering to ask. I was just looking for a place to start some "additional" discussions and obtain "additional" different perspectives. Because honestly some of the services I ran with got their protocols from...

Yep, that was a typo - saw it after I posted it and your can not edit posts. Thought it was such a small part of my post that the correction was not really that important but thanks for clarifying it for the forum. Clarification: Original paper for the glasgow coma scale was in 1974. Take a...

Seems we have gotten way off topic from the origins from this post.....back to the original topic 2nd degree heart block type I tends to be fairly stable but can progress. So in and of itself, not so concerning 2nd degree heart block type II can be a little more unstable and can progress to...

The later that you described is in definitely more useful and something that I am already doing but the thought was to get some additional examples from outside my direct area, which is what the internet is helpful for....but thanks for the feedback. :)

Please share your opinion as to when an ambulance should travel lights and sirens? When the patient is going to potentially decompensate in 5 minutes, 10 minutes, 1 hr, 8 hrs or Should they only go lights and sirens when the patient is in full arrest? Additionally, some systems have logistical...

Thanks for all your great real case scenarios. You guys really help me out. :) Be safe out there.

Actually, I was a paramedic for many years before medical school and even sat up front sometimes (two medic trucks); I get it. No, I don't think that you should risk your safety or the public's safety for the stubbed toe but this thread started on a patient in 2nd degree heart block. I am...

Rapid weight based dosing for Dextrose for hypoglycemia for all ages is best with the "rules of 50" or the 5/2/1 rule What ever concentration you use you want the volume per kg x the concentration to = 50. D10 x 5 ml/kg = 50 (infants, bigger kids, and adults) D25 x 2 ml/kg = 50 (bigger...

From the receiving physician side: Most medic's are amazing but some times ....well.... you know not so great. I personally think that all transports show be with lights and sirens. Someone called 911 because they thought that they were having an emergency they should be treated like they are...

I am an emergency room physician - specializing in EMS This is form my own personal growth but most likely I will share what make it open access for providers and services that are planning to participate in the ET3 Model. I will be getting cases from my local providers as well, but ET3...

So currently in the US most payers will only pay for an ambulance transport after a 911 call if you transport them to the ED.(*there are a few exceptions like a dialysis center). So if you only pay for transport to the ED where does everyone get transported?? I have been in medicine since 1998...

DO :)