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I am not sure exactly how obtunded his patient was, but the conversation led me to believe the pt was likely just confused/inappropriate responses and was cooperative. I know I have put CPAP on a patient with a GCS of 3E, 2V, 5M before and seen an improvement to GCS of 15 in under 1 minute.

Hello Forum, I recently got into a friendly debate with a colleague about the treatment of an acute pulmonary edema (APE) patient who has a BP of 220/140 ish. My local protocols would dictate this patient should get high dose (1.6mg) SL NTG and CPAP; We cannot initiate a NTG drip (but if we...

Here is why you get the 12 lead, it can see things the human eye cannot. I see all the arguments for VT, they are sound, and I'd definitely do a double take. My thoughts on why it could be sinus in origin: the printout says the PR interval is .196 which means you would expect to seethe p wave...

Circle of Life You've transported patients with a GCS not consistent with life... to routine checkups or dialysis.