Thu.Oct 17, 2024

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Two patients with chest pain and RBBB: do either have occlusion MI?

Dr. Smith's ECG Blog

Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Do either, both, or neither have occlusion MI? Patient 1 : a 75 year old called paramedics with one day of left shoulder pain which migrated to the central chest, which was worse with deep breaths. Past medical history included RBBB without other cardiac history, but old ECG was not available.

EKG/ECG 77
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Elective Placement With The Air Ambulance: Reflective Account and Top Tips

Mind The Bleep

What my elective entailed I undertook a four-week Pre-Hospital Emergency Medicine (PHEM) elective with the Midlands Air Ambulance Charity. This entailed two day shifts on the helicopter and one night shift on the critical care car each week. Through this role, as an observer, I was able to experience various pre-hospital emergencies; the most common scenarios I attended were cardiac arrests, but I also attended trauma patients at the scene of road traffic accidents, fractures in a wilderness med

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S’now Problem: Keep your Cool when Stimulants turn up the Speed

EM Ottawa

We remain amid an opioid crisis in Canada, with over 8000 deaths (or 22/day) in 2023. The harms of opioid use in society are devastating and cannot be understated – but so too are the harms from stimulant and other substance use. In 2023 there were 3479 apparent stimulant toxicity deaths, which is approximately 10/day. […] The post S’now Problem: Keep your Cool when Stimulants turn up the Speed appeared first on EMOttawa Blog.

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Being a BASICS Doctor

Mind The Bleep

I am a GP at a large practice based in a town in southwest Scotland, and I also work as a doctor in the Emergency Department in our local district general hospital. But it doesn’t stop there. Like dozens of other doctors, nurses, and paramedics across Scotland, I have the privilege of being a responder with BASICS Scotland. What is a BASICS responder and who can do it?

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An Insight into Mountain Rescue Teams (MRTs)

Mind The Bleep

You may have seen Mountain Rescue teams (MRTs) if you’ve been out in the hills or mountains, seen them on the television (a few series have recently been on air), or perhaps you’ve seen them at Emergency Services open days. What is it all about, from the viewpoint of a doctor? I offer my viewpoint as a doctor having been involved in MRTs for over 11 years.