article thumbnail

Hypothermia and drowning

Don't Forget the Bubbles

You request a 12 lead ECG and repeat a blood gas, asking for it to be run on the PICU analyser. Your trusted nurse hands you the ECG: Paediatric ECG interpretation has never been your strong suit. What is the likely cause of Elsa’s ECG changes? Military medicine , 163 (10), 719-721. a) Hyperkalaemia? The K+ is 1.7.

article thumbnail

Massive Hemoptysis

EM SIM Cases

Since leaving the military, Dr. Koo works as an Emergency Physician and Assistant Professor of Emergency Medicine at MedStar Health and Georgetown University. This case comes from Major Alex Koo.

COPD 52
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Highs and Lows

Sensible Medicine

The proposed treatments are selected by the attending psychiatrist, and typically consist of a variety of psychiatric medications likely to be helpful for the patient’s condition, as well as any monitoring tests necessary for their safe administration (bloodwork, EKG, etc.). “I raised him good.

article thumbnail

Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

RebelEM

The only statistically significant factor intra-arrest was the first ECG rhythm, which only had an odds ratio of 1.12, which is relatively low. Apart from the first monitored ECG rhythm, this study found no other prognostic factors available to differentiate between survivors and non-survivors.” Discussion: Dead On Scene: The 96.2%

article thumbnail

EM@3AM: Hyperthermia

EMDocs

A 12-lead EKG shows sinus tachycardia but is otherwise normal. football players, military). Triage vital signs include BP 80/40 mm Hg, HR 154 bpm, T 41C rectal, RR 28 breaths per minute, saturation 94% on room air. The patient is agitated, not oriented, and becoming combative with ED staff. Temps greater than 41.5C