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The left ventricular ejection fraction (LVEF). A measure of how well the left ventricle is squeezing, essentially. Some patients with heart failure have a decreased left ventricular ejection fraction.

That is such an overblown line. The state will not be coming for anyone's license because they transported a respiratory distress patient on CPAP and the patient deteriorated en route.

Based on history, aortic dissection. EKG: QRS is wide, did the patient have a pacer? Otherwise, this looks morphologically atypical for a BBB: ST changes (some STe in aVL in top 12 lead, some STd in II and III in bottom strip), T-wave is too big, P-waves intermittently seen in V1/V2 in top...

We recently had a young guy in arrest transported to us where the medic gave amiodarone for an asystolic rhythm, among other issues. Just reading that chart was mind-boggling.

But what about orders that require you to give a medication if a MAP is below a number. For example: start an epinephrine drip if MAP is below 65.

http://www.medmalreviewer.com/case-13-cervical-fusion/

I'm now thinking DKA (probably caused by underlying infection) that is causing hyperkalemia. If calcium and bicarb haven't been given yet, lets do so. Let's give him a lot of insulin and avoid intubating if at all possible. Physiologically a nightmare tube. Probably now has pulmonary edema from...

12 lead: tachycardia at ~110, not very convinced this is Afib RVR as rhythm strip appears regular enough, especially in the last 3/4 of the strip. Suspect acute MI due to elevation in v1 and v2, reciprocal depression inferiorly, and hyper acute T waves globally, although TCA overdose and...

Pan searing with a nice butter baste is definitely the only way I cook steak now, as of two or three years ago. Never putting another steak on a grill again. The only thing I haven’t figured out yet is how to scale that up for more than a couple steaks at once.

I'm curious. What were the indications to do a nasal intubation?

I'm certainly not an expert on how calls for service get routed in the HEMS world, but why does more than one program even get an opportunity to take the call for an emergent flight? Certainly if you [as a hospital/scene provider/whatever] get turned down once due to weather, you wouldn't...

RT. I can't count the number of times I heard our ED physicians say yesterday "lets just start the sepsis bundle so we don't get dinged" on people who the sepsis bar fired on, even though they obviously weren't septic. It doesn't help the patient, is not good medicine, and may worsen the...

What model is that? And is your hand that big or the tool that small? I currently have a Leatherman Sidekick and Wave, but have been looking for something smaller/lighter that still has a decent set of pliers to more reliably carry every day.

NS/fluids would actually help this patient, albeit marginally, but in the absence of calcium, may have been worth a consideration. Fluids would help "dilute" the blood, thus reducing the K concentration and further downstream, help increase urine output and thus K excretion.

I would really love to see someone tackle replicating Meantzelopoulos 2013 (https://www.ncbi.nlm.nih.gov/pubmed/23860985) which showed significantly better ROSC and survival with CPC 1/2 after a vasopressin-epinephrine-steroids cocktail over just epi in an in-hospital cohort. It looks so...

It'll be interesting to see what happens seeing as Dunwoody is a relatively small city without a fire department. Dekalb County Fire used to do all EMS transports before this AMR contract, but I'm not sure what Dunwoody can do on its own if the whole county doesn't follow suit.

This has been a long time coming. Dunwoody is in Dekalb County, which AMR has the primary 911 contract for. AMR has missed contractually obligated response times and has been struggling to get an adequate number of trucks on the road for a while now. Low morale, chronically understaffed...

Coachella?

Your new pitcher/hitter extraordinaire that you poached from the Braves...

The bolded is an important distinction.