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    Decorticate type posturing with normal GCS

    Wondering if anyone can explain the patho related to a pt I transported today who had decorticate type posturing with a high GCS. Pt was a 70yoM transfer out of a regional hospital who initially presented with sudden onset neck pain and bilateral arm pain. On arrival of the pt was agitated due...
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    ECG of a case today

    70yoF who presented with 9/10 central chest pain, associated diaphoresis and vomiting. Pain described as stabbing in nature, worse on inspiration and palpation. The Zoll auto-diagnosis only states "moderate ST depression" no finding of infarction. I'm just wondering what others would think of...
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    Which services have tactical paramedics?

    Hi, A few random questions that I am hoping some of you guys can help with in order to help me with a potential research proposal. Which services do you know of that have tactical paramedics or a tactical unit? In particular I am looking for units that have civilian paramedics who work day to...
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    non-synced cardioversion during pulseless VT arrest

    A question came up today that I didn't really know the answer to and thought some of the greater minds on here might be able to point me in the right direction. During an unstable conscious VT rhythm we cardiovert with the monitor in "sync" mode (post sedation) so that the DCCS is delivered...
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    Mythbusting

    OK, it's mythbusting time. I heard these three today and went looking for evidence to prove or disprove them. I'm not looking for "In theory it is this but in practice it is different" answers. I am looking for reputable evidence to inform my practice. I can't base my practice upon...
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    Salbutamol in the setting of pulmonary embolism

    I put a post in the education forum but figure with the lack of a single response it may sit better in here. If you have a patient that you believe is suffering from acute asthma and they are "circling the drain" so to speak. What effect will nebulised Salbutamol and Ipratropium Bromide have...
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    Asthma drugs and their effect on Pulmonary Embolism

    Just after a bit of help from those in the know. If you are presented with a patient who you believe is suffering an acute asthma attack and you administer Salbutamol and Ipratropium Bromide, what positive/negative effects is it likely to have if the pt actually has a pulmonary embolism? Any...
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    ECG Help

    Can anyone please point me in the direction of some reliable online resources for rhythm recognition on 12 leads? I have an exam coming up and am struggling a bit with all of the different rhythms and need some foolproof last minute study help. Thanks in advance.
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    Would you give Glucagon?

    First time post so happy to fill in the blanks as needed: You are dispatched to a 7mo old pt who has pulled out his PEG tube. On arrival the mother is distraught and panicking and explains that the pt has pulled out their PEG tube and requires constant feeding to maintain their blood sugar...
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