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Avg transport 30min to 50 min and ont he NTG intial pressure was 160s/90s so i went with a trial we also had fluids running her pressure stayed steady and the NTG did drop her pain to a 5/10 for a while before it returned.

We only carry 20mg of morphine and 100 mcg of fent

For CP note above and traumatic injury up to 10 then need to call in. We carry Fent but online order only and we usually get denied.

for ischemic cp protocol says i start at 2mg every 5-15min based on BP 100 systolic

We have very crappy protocols...........

Surprisingly after all that her pressure on arrival was 130s/80s initially we had 170s systolic

gave ASA, Zofran 4mg, NTG x3 and 10mg morphine

Thought id share this call from last shift. Dispatched to assist a nearby town BLS unit they requested ALS to there scene. Call was for a 48 yo female CP with radiation to arm/neck. U/a 48 yo female no hx no meds quit smoking 6months ago. She was very weak, SOB, pale, diaphoretic. She stated it...

as a side note he was flown and had 99% occluded RCA i was catious with NTG after 2 pressure dropped 90/70 that was the other issue with this doc she stated these pts need to be pain free and keep giving NTG regardless needless to say we had a few words exchanged and i walked away some days you...

So havent posted in a super long time but had a call last shift i need to vent about and get opinions. Called for 60 yo pt possible heart attack. U/a male pt c/c substernal chest pressure no radiation. Described as heavy heavy pressure 6/10. Pt stated this has been off and on for the last 3...

72 yr old male presents to ED with SOB for 5 hrs here ya go

time for a new one 83 yr old male AMS

Alright time for a new EKG that last scenario pt eventually stabilzed and was flown to a PCI facility let me know what you guys think of this

Ok to clear things up the first ECG is post arrest but the patient woke up aftter first defib and the second ECG is when she arrested again. This was just a interesting case i was sharing considering the patient kept waking up i have 2 more ECGs from this case to post, so patient was defib again...

no prehospital EKG pt was on continuous 12 lead she stated i dont feel right this is what the second 12 lead looked like

5.0 mEq/L is K, btw she is alert and oriented and in this rhythm

here we go 72 yr old female c/c CP ems is bls. 12 lead is done transmitted shows ST elevation II,III, avf with reciprocal changes laterally, 5 min from hospital pt has arrest cpr and defib x1 this is the 12 lead as shes being rolled in the ED

well with regards to hyperthermia all depends if its pyrexia or related to enviroment. In NH protocols call for PO/PR acetominophen adult 325mg-650mg and pedi is 15mg/kg for fever in adult of pediatric.

No PR Acetominophen??

No pacer