sagigl

the changes you've mentioned could be normal variable for a trainer. try give us some more details of the ecg, like in what leads are these depressions?, why did he turn to you? does he have brugada manifestations (j point elevation in v1-2).

i would go for hemolytic anemia, on the background of g6pd deficiency or sickle cell anemia that was exacerbated by the disease or by a medication that was given around the disease or the procedure. anamnesa should concentrate on the family history and the medications that were given- especially antibiotics. treatment would include O2, steroids and finding a way to get to hospital fast enough in order to get blood transfusion if necessary.

hi all! to my opinion we're watching an unstable rapid a.fib. it might sometimes be mistaking with VT but not on this case because of the irregularity. bls treatment should include laying the patient down or at least getting his legs on a chair if he's got trouble to breath lying. off course- oxygen, opening an i.v. and waiting for als with resuscitation gear standing by. als treatment will include anestesia with ketamin 2mg/kg and midazolam 3 mg and synchronized cardioversion with 100J. anamnesa and physical examination should be completed before but apparently this is the direction. "if it's wide, fast and funny looking- shock it!!"

dust- don't know much about other systems, but in Israel we pretty much need authorization for most things that are not specifically mentioned on the protocol and in life danger situations. however, we can do chest tubes when an m.d. is present... the specific one i told about was done by an m.d., i just told him to use the ett when he dropped the original drain to the ground... and it worked beautifully

i used a 7.0 orotracheal tube for chest drain...