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Okay imma try again 12leads

Called to a 43 yom choking while eating in a restaurant. BLS unit arriving before us update us that it is not a foreign object aspiration but rather a chest pain. We arrive to find the pt on the BLS unit stretcher. Initial presentation- alert, diaphoretic and clammy. He says he's been having...

Our drug of choice for eclampsia is mag. 5gr/100ml drip. Can go to benzo after that

Nice read, ketamine for pain management is excellent and safe. Very effective with an opiate and works well without one too.

Unconscious in a store approx 60 yom.. apparently pt ( who is, according tothe store owner, a homeless) went in and complained he didnt feel well then collapsed. ended up a code (asystole, yea sounds like vf i know) with rosc and attempted cardioversion afterwards (afib with rvr).

I really like Tintinali's, use it very often. Didnt try out rosen's though.

I've had a patient go to vt and self cardiovert to sinus in 2-3 minutes. She didnt feel it at all. But she didnt have a known accesory pathway.

I didn't run into one yet. Definitely something you want to make sure before administering a ccb.

I definitely agree with the approach the majority stated here. If alert and oriented I'd probably withhold cardioversion and go to meds first. And yes for hemodynamiclly stable nct ccbs work very well. Use verapamil quite often. Nice discussion.

Yes I agree, I would expect him to have relevant family history. But he does have the rest relevant risk factors. Had an aortic dissection present itself as rca occlusion. These are definitely tricky. I would measure bp on both hands too. Minimal intervention approach to this case might not be...

Okay so now im more confident in my inital diagonsis. This guy is in cardiogenic shock due to lmca lesion. What i would do Asa o2 heparin put the pads on him and hang a pressor (in my case dopamine ). full throttle to closest stemi center Bleeding, ascending aortic dissection and such can also...

In addition to what he ^ said, the ecg is very worrying. Imma jump the gun and say it seems like a significant lmca lesion.

Psych- pt that is imminent threat to himself/others- chemichal control if necessary. Isolated trauma-no, nothing we can do here.unless serious pain control is required General sick call- same^, or patient is hemodynamically unstable, Acute stroke- unless AMS it can be BLS. but depends on...

My fav contraindication.

O Mmm, yea i get what they did now. Thanks.

So basically they tubed him and didnt use capnography? Paralyzing without capnography...that is some next level stupidity. And i think that if you rsi, colormetric detector is not enough. Only real time capnography.

Never heard of it, thanks for sharing.

Thanks! Definitely going to read it.

Salbutamol ett for hyperk/ obstructive etco2.. quite routine here

I certainly dont think we should give narcan to every resus. And i also dont think cops/fire should. I'd rather have them focused on good chest compressions and aed use. I would give narcan if i suspect opiate od etiology. And about the raging narcaned patient Our protocols state narcan is to be...