Archive for January2012

17 year old male CC: Chest pain and palpitations

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Here's a great case submitted by a faithful reader who wishes to remain anonymous.  Some details have been changed to ensure patient confidentiality. You are called to the local ER to transfer a 17 year old male to a large metro hospital for evaluation. Your patient  presented to the local ER with chest pain and […]

64 year old female CC: Trouble Breathing – Conclusion

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Lots of great comments and it was good to see the depth of discussion on the appropriate treatment and transport for this patient! This is the conclusion to 64 year old female CC: Trouble Breathing. When we left off our crew was attending to an elderly female patient in respiratory extremis. Pulmonary edema was present […]

64 year old female CC: Trouble Breathing

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Thanks go to Michael Herbert for this great case! As always, some details have been changed to protect patient privacy. It’s late into your shift when the tones go off for breathing problems at a local extended care facility.¬†Enroute you’re advised it is a 64 year old female with a “low O2 sat,” and to, […]

Why we need health care reform

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Image credit: whitehouse.gov I went to the emergency department with a kidney stone yesterday. Here's the estimate I was provided at discharge. ER Level 4: $4,631.94  Insurance contractual discount: -$4,154.03 Adjusted estimated charges: $477.91 Estimated insurance responsibility: -$257.33 Patient co-pay: $125.00 Patient applied co-insurance: $95.58 Estimated patient responsibility: $220.58 So, I paid $220.58 on my […]

Behind the scenes video from the Code STEMI web series

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Some excellent behind the scenes video has been posted for the Code STEMI Web Series (my special project with First Responders Network). Click HERE Mayme Lou Roettig RN, MSN and Chris Granger, MD from Duke University (RACE program North Carolina) explain how first responders are a critical part of the early management of acute STEMI. “Things […]

The politics of transporting a patient in a fire engine

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Image credit: WJLA-TV News 7 The EMS blogosphere, Facebook fan pages, and internet forums are buzzing with discussion (and criticism) of the firefighters who transported a pediatric asthma patient in a fire engine rather than wait for the ambulance. Apparently a 5 year old girl named Christina Luckett was having a severe asthma attack to […]

Discussion for 90 year old male cc: chest pain

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I hope you all had happy holidays! Here is the discussion for 90 year old male cc: chest pain.  You may wish to go back and review the case. So, let's get into the case!  There are the usual questions we need to answer as we try to determine the rhythm.  Is the rhythm wide […]