Case Review

EP.6 Chest pain, Zebras do exist!

LITFL: Chest pain DDx

EMBasic has a great review of evaluating the patient presenting with chest pain. It is Residents/Jr. Docs, but if a paramedic can do a physician quality assessment it just makes them a good paramedic!

While we should always think Horses before zebras, it doesn't mean zebras don't exist!

Ultrasound diagnosis of type a aortic dissection

Ultrasound Of The Week #17

While we are still waiting to see Ultrasound on our buses, I think it's good to start talking about the uses in the back of an ambulance. Evaluating for Pericardial effusion is a decently well-documented use (1,2).

  1. Bhat, S. R., Johnson, D. A., Pierog, J. E., Zaia, B. E., Williams, S. R., & Gharahbaghian, L. (2015). Prehospital Evaluation of Effusion, Pneumothorax, and Standstill ({PEEPS)}: Point-of-care Ultrasound in Emergency Medical Services. The Western Journal of Emergency Medicine, 16(4), 503–509.
  2. Chin, E. J., Chan, C. H., Mortazavi, R., Anderson, C. L., Kahn, C. A., Summers, S., & Fox, J. C. (2013). A pilot study examining the viability of a Prehospital Assessment with UltraSound for Emergencies (PAUSE) protocol. The Journal of Emergency Medicine, 44(1), 142–149.

EP.5 Managing Cardiac Arrest as a Paramedic Student

Welcome to the paramedics Guide to the Galaxy! Today I have an interview with a fellow Paramedic student,  Patrick Guziewicz. (@guziewiczp)

Patrick's take home points:

  • EMS is a team sport, be confident, stay humble.
  • Bystander CPR is ESSENTIAL to increase OHCA survival.
  • The paramedic running the code needs to run the code. Not the IV, IO, Drug box, Or monitor.
  • Early Chest compressions and Defib are the priority. 

Nicholas' take home points:

  • Some of the Greatest Atrocities in history were made "Just following orders"

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Nicholas (@nikolace)