I knew that myocardial injury can be associated with subarachnoid hemorrhage (ST and troponin elevations), and years ago I saw a patient with this presentation, but until reading this article I didn't realize this was so common.
(Unfortunately only the abstract is available here.)...
Does anyone know of community paramedic programs that are involved in seeing opiate addicts; i.e. visiting patients who have in the past OD, providing them with harm reduction (Narcan), facilitating them going to group meetings or other outpatient appointments, etc.
I'm not sure if I totally...
Has your county allowed EMT basics, cops, and/or firefighters to administer Narcan?
If so, any stats on how often it has been used and if there is any evidence of lower OD deaths?
You are called to a psyche facility for a patient who has had multiple seizures. The patient is a 50 y/o female on a 14-day hold and has a history of paranoid schizophrenia. As you walk in, the patient is actively seizing. Staff is available for any questions you may have.
You respond to a 65 y/o female who opens the door. The first thing you notice is the pronounced swelling of her lower lip. She appears very anxious and you can barely understand her due to her speech being slurred. She is pointing to her lip and you can understand that she is also complaning of...
Here's a tricky ECG for you. To be honest, I was really annoyed the other night because I could not figure it out until an ED doc explained it.
88 y/o female c/o palpitations, otherwise asymptomatic. All her vital signs are stable. She says this has happened to her before and that it is "my A...
You are an NP or a PA working on an ambulance. Imagine that it is a trial program like the one in Orange County, CA.
How would you handle the following 911 calls:
1) Which would you treat and not transport (with referral to PMD)?
2) Which would need an ER eval?
3) Which would be a likely...
Does anyone know if their are studies showing the effectiveness of Zofran for the relief of nausea and for the prevention or reduction of vomiting episodes in patients outside of those getting chemotherapy? In other words, do we really know how well it works for patients who are vomiting because...
Here's an interesting site that provides data on the NNT for many drugs, i.e. that aspirin given to a STEMI saves the life of one person for every 42 patients that it is given to.
I believe the site is done by Dr. Newman, who also does a podcast that I would highly recommend.
http://www.thennt.com
I understand that the only function for CPAP in asthma is to reduce the work of breathing, and that the current evidence appears to show benefit in its use for severe exacerbations, but doesn't it contribute to air trapping?
If you can use BiPAP (which we don't have pre-hospital), would you use...
You are called to an 11-month-old baby seizing. The patient has been seizing for 20 minutes prior to your arrival, and is actively seizing upon your when you walk in. How would you manage this patient? You are out in the country, 1 hour away from the nearest ER.