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What to do if your Patient is Poisoned by a Nerve Agent

In Clinical Questions, Medical Concepts by Blair BighamLeave a Comment

While working in your emergency department, you receive news a number of patients have been found at a bus station unconscious. It is suspected that some sort of attack may have occurred. The first patient is brought to your ER, with obviously soiled clothing, vomiting and aggravated. As you make your way towards the bedside, the patient suddenly begins to seize. Overview: This past month, the assassination attempt of a Russian ex-spy and …

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A lesson on blood and bullets for Rick Santorum

In Featured, Opinion by Blair BighamLeave a Comment

Rick Santorum is clearly in need of a biology lesson following his puzzling assertion that the youth who filled Washington’s streets in protest of America’s infamously lax gun laws would have better spent their time learning cardiopulmonary resuscitation (CPR), in case a shooting were to occur in their high school. “How about kids instead of looking to someone else to solve their problem, do something about maybe taking CPR classes or trying to …

Tide Pod Challenge: Managing caustic laundry pod ingestions

In Medical Concepts by Blair BighamLeave a Comment

A Case of Laundry Pod Ingestion  You are called to the low-acuity side of your department for a two year old child who was triaged three hours ago. The child was witnessed to eat a laundry pod at home, but was stable on arrival so sent to the back.  Now, the child is wheezing, seems drowsy, and is tachycardic.  When you approach the child, he begins to cry and you note the sound …

Continuous Evidence Evaluation: HSFC/AHA Focused Update on the Role of Ventilation in Resuscitation

In Infographics, Medical Concepts by Blair BighamLeave a Comment

Did you know? ILCOR has shifted to a Continuous Evidence Evaluation (CEE) system What does this mean for you? You won’t get your giant q5year update anymore! Instead, experts and scientists will constantly scan the literature. When sufficient evidence requires a change in the guidelines, a FOCUSED update will then be released. When does this process begin? It already has! The first focused update was JUST released. New studies have strengthened ILCOR’s confidence about …

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What paramedics need to know about the new CPR and ECC guidelines

In Featured, Medical Concepts by Blair Bigham1 Comment

Editor’s note: This infographic and an article highlighting paramedical implications of the guidelines changes was published in Canadian Paramedicine. We encourage you to check out the full article and other great pieces at  Learn more about the changes at These newly revised guidelines guidelines present evidence-base care for cardiac arrest patients, and they have greatly influenced the work all emergency providers (including paramedics). With each successive iteration, prehospital care has become more complex, more important, and most importantly, more …