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59 Year Old Female: Intermittent Head Pain (Conclusion)

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This is the conclusion to Wednesday’s post; if you haven’t seen it, I highly suggest checking out the original case description and initial ECG. Wednesday’s case introduced a 59 year old woman with a chief complaint of intermittent occipital head pain for about 10 days. Recently, it had started radiating into her neck and upper […]

59 Year Old Female: Intermittent Head Pain

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One of my co-workers told me that she wants to see more case studies. A 59-year-old female presents to the emergency department with a chief complaint of “head pain that comes and goes.” She describes the pain as a dull ache in her occiput that’s been striking without warning a couple of times per day […]

South Carolina Resuscitation Academy

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Date: October 15-16, 2016 *** Extra day of training added for Monday, October 17, 2016! *** Location: Sonesta Resort, Hilton Head Island SOCIAL MEDIA Official hashtag: #SCRA2016 Official Facebook page: https://www.facebook.com/SouthCarolinaRA/ Official Facebook group: https://www.facebook.com/groups/SCResusAcademy/ Twitter: https://twitter.com/SCResusAcademy PODCAST Episode 1 Episode 2 RESOURCES Ten Steps for Improving Survival from Sudden Cardiac Arrest Telecommunicator CPR (T-CPR) Certificate Course High […]

No, doubling the paper speed will not reveal hidden P-waves

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Apparently I went to the Rick Bukata School of Titling Articles. A 22-year-old male presents with agitation and delirium after smoking an unknown substance that an equally unknown person on the street offered him. You note a rapid radial pulse at around 150 bpm and attach him to the cardiac monitor: Well now we’re in […]

RCP de Alto Desempaño – ¡Rendimiento sobre Protocolo!

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Esta entrada es un complemento a Pit-Crew CPR en Adultos y Pit-Crew CPR Pediátrica. En concreto, esta es la forma en la que hemos modificado nuestro proceso de formación tras asistir a la Resuscitation Academy en Seattle / King County. Durante el re-entrenamiento, cada rescatador debe experimentar cada posición al menos dos veces. Dicho de […]

High Performance CPR – Performance Not Protocol!

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This is a supplement to Adult Pit Crew CPR and Pediatric Pit Crew CPR. Specifically, this is how we have modified our training process since attending the Resuscitation Academy in Seattle / King County. Each rescuer should experience each position at least twice. In other words, you run the drill, stop and switch, run the drill, stop and switch. […]

Pit Crew / High Performance CPR on the EMS Nation Podcast

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Editor-in-Chief Tom Bouthillet (@tbouthillet) was on the EMS Nation podcast (@EMS_Nation) for EMS Week. The topic was Pit Crew / High Performance CPR and Systems of Care. Click HERE to open in iTunes. Click HERE to open in Libsyn (with built-in media player). Referenced in this podcast Adult Pit Crew CPR – The Explicit Details […]

Cardiac arrest and deep T wave inversions

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The paramedic swung the stretcher into the resus bay, and started giving report. As the team of RNs, techs, and residents swung into action, I noted that the young adult patient didn’t look very sick at all. Confused, yes, and perhaps a bit anxious, but this seemed like an over-triage. “Paramedic Battistelli,” I called out, […]

Continuous Chest Compressions vs. 30:2. Does It Matter? Depends On the Quality!

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Seattle Fire Department Engine 2. The rescuer on the left has just placed a metronome on the ground. I will eventually get around to composing a more thoughtful blog post about my experiences at the Resuscitation Academy but in the interim I wanted to share something about the ventilation strategy in King County, Washington. There […]

The 12 Rhythms of Christmas: Paroxysmal AV-Block

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This article is the ninth in our latest series, The 12 Rhythms of Christmas, where we examine a different rhythm disorder with each new post. It’s a continuation of the theme behind last year’s 12 Leads of Christmas. And, just like last year’s series, I’m rather late getting the final articles out, but the end […]

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