Clik here to view.
Understanding Atropine
As requested, during our previous Adenosine discussion, we will briefly review, Parasympathetic stimulation and Atropine pharmacodynamics on the heart. ACETYLCHOLINE (ACh) is one of the...
View ArticlePulsus Paradoxus: Cardiovascular Function and Assessment
Cardiovascular Assessment: Pulsus Paradoxus Assessing cardiac function, blood pressure and hemodynamic status play an important role during our overall patient assessment and treatment. Although 12...
View ArticleClik here to view.
53 YOF with AMS: STEMI or Secondary ST-T Changes?
This is the case of a 53 year old female who presented to the Emergency Department (ED) via EMS, with Altered Mental Status (AMS). EMS was called to a local dialysis center due to the patient being...
View ArticleClik here to view.
57 Year Old Male–Chest Discomfort
It is a bright Sunday morning when you and your partner are dispatched for an “adult male-chest pain”. You arrive at a well kept residence, noting a ladder and paint cans as you enter. You find your...
View ArticleClik here to view.
Understanding Adenosine (Adenocard)
So, recently, I was involved in a conversation, where the topic of Adenosine administration came up. It seems like there is a misunderstanding regarding its use and mechanism of action. Although this...
View ArticleClik here to view.
Calcium and Hyperkalemia
“Calcium Chloride/Gluconate are used during Hyperkalemia induced ECG changes to reduce Serum Potassium.” The answer is: False! The majority of Potassium in our body is found intracellular. Only a...
View ArticleClik here to view.
Nitro paste is NOT an emergency medicine drug – The Evidence
Many paramedics argue strongly for including nitroglycerin paste as an arrow in their pharmacologic quiver when treating acute congestive heart failure. As opposed to using arrows with...
View ArticleClik here to view.
What are the Essential Elements of High Performance CPR?
Adult High Performance CPR (HP-CPR) Demo at the South Carolina Resuscitation Academy! Hilton Head Island Fire Rescue: Tim Santini, Jon Ceiply, Shane Marstiller, Sean Kavlick What is High Performance...
View ArticleClik here to view.
71 year old male: Chest Discomfort
This very interesting case comes from Bryan F, a Paramedic from Long Island. A 71 year old male is cooking breakfast when he experiences sudden onset of 10/10 chest discomfort. He waits 20 minutes or...
View ArticleClik here to view.
71 Year Old Male: Chest Discomfort- Discussion
Here is the discussion for “71 year old male: chest discomfort” let’s review the prehospital 12 lead: Here are the precordial leads blown up: There is slight ST elevation in V1, ST elevation in...
View Article
