afib

we also carry the advent cardizem, makes life easier. in the way of a maintence drip, thats commands decision i have only used it 3 times in my prof, career.

my very first call.....was with one of my ems instructors, went to a fall victim turns out that we used the ked for a "unoffical proceedure" reversing it and using it to stabilize the pelvis. that was the one of the best days i have had in the service....many more i have had since then and many more i will have. we love the streets we do make a difference in peoples lives.

motley crew - without you

don henley - sunset grill

infected mushroom - sulliman

i know jersey would have a giant issue with this, thats why i left. they are stuck in the stone ages. then again some of these people i wouldnt touching my dead cat.

david gahan - saw something

beethoven - 5th symphony

i was introduced to it by a co worker

brokas bliss - my beautiful sound

enya - oriccono flow

inxs - dancing on the jetty

eric clapton - no alibis!

ok what in gods name is going on????? heat??? mentality??? something in the air??? water???? these are innocent kids yeah they push buttons but thats a child. what ....what is it????? im seriously puzzled some one please shed some light something dear god.

tool - schism

been hearing that comment the most.

this has yet again triggered anger in those who deal with it

info dammit!

vitals b/p, resps, pulse reg or irreg,

pmhx

allergies

meds

what is her normal mentation and where is she at now, the picture aint finished being painted dang it!!!!

lol

travis tritt - here is a quarter!

eric johnson - cliffs of dover

1-2 mm elevation in the inferior leads, this is what ya get for blowing off chest pain after days. troponin was 7.0, 100/ 64 next b/p no i didnt want to touch that b/p with nitrates i hit him with 2mg of mso4 and his pressure dropped to 88 / 54 fentanyl is not avail here. i didnt do a v4r but due to his presentation i didnt want to screw with it much more and he is set for a cath i do believe tonight. i think with a trop. level that he has significant damage has been done, ill let ya know.

ok here we go ill give you all the issues and you figure it out and what the possible outcome maybe and a bonus question who can guess the troponin level.

47 y/o/m c/o chest pain for on / off period of 10 days, last night being bad but relieved with rest. today started again roughly 8 am but does not seek treatment, calling 9-1-1 due to chest pressure that makes the left arm go numb pt stating that the pressure is a 10 / 10 (-) diaphoresis, n/v/ha/ vision disturbances, no meds history and or allergies. pt placed on high flow o2, with room air saturations 97%.

monitor started with subsequent 12 lead showing sinus bradycardia with no ectopy as per monitor " otherwise normal ecg" b/p 102 / 60 respirations 16 - 18, skin warm dry (-) pallor, motteling, flushing.

how would you treat pt presentation, and what would you expect to have happen. bonus ? what is pt's troponin level????

have fun

genesis - dukes travels / dukes end

the clash - train in vain