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Sirens to Scrubs: Fever-Phobia

In Sirens to Scrubs, Working in EM by Paula SneathLeave a Comment

You’re transporting Milly, a 68y/o healthy woman to the hospital with a fever of 38.9C with a productive cough. As you offload her she asks for a blanket, so you ask your student to get her one while you start your paperwork. Your student, Vincent, later tells you that he was taught at school not to give blankets to febrile patients and asks you about your reasoning for giving one to Milly. About …

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Sirens to Scrubs: Wolff-Parkinson-White Syndrome

In Medical Concepts, Sirens to Scrubs by Paula Sneath1 Comment

You are dispatched to Jasmine, a 31yo patient, for palpitations. On arrival, you find her clinically stable in a narrow-complex, regular tachycardia at a rate of 180bpm. As you begin to coach her through vagal maneuvers and reach for your adenosine she advises you ‘I have something called Wolff-Parkinson-White – does that change anything?’ You think maybe it does, but you’re not sure. About Sirens to Scrubs Sirens to Scrubs was created with …

Sirens to Scrubs: Subarachnoid Hemorrhage

In Sirens to Scrubs by Michael KruseLeave a Comment

You are dispatched lights and sirens for Jennifer, a 52-year-old female complaining of “the worst headache of my life”. She recalls running on a treadmill then feeling like she had been struck in the back of the head by a clap of thunder. She then proceeded to have a witnessed two-minute episode of syncope. On arrival you find Jennifer coming out of the bathroom where she was just vomiting. As you are getting …

Sirens to Scrubs: Acute Coronary Syndromes, Part Four – Spot the Lesion!

In Medical Concepts, Sirens to Scrubs by Paula SneathLeave a Comment

In Part One of this series, we reviewed the pathophysiology of Acute Coronary Syndromes (ACS), as well as some of the important features that should be elucidated on history-taking. In Part Two we discussed the current evidence-based practices for the management and transportation considerations in patients identified by paramedics to be suffering from a STEMI. In Part Three we described the series of events that occur when the care of a patient with …

Sirens to Scrubs: Acute Coronary Syndromes, Part Three – Diagnosis and ED Management

In Sirens to Scrubs, Working in EM by Paula SneathLeave a Comment

In Part One of this series, we reviewed the pathophysiology of Acute Coronary Syndromes (ACS), as well as some of the important features that should be elucidated on history-taking. In Part Two we discussed the current evidence-based practices for the management and transportation considerations in patients identified by paramedics to be suffering from a STEMI. In this third part, we will consider the series of events that occur when the care of a …

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Sirens to Scrubs: Acute Coronary Syndromes, Part Two – To the Lab!

In Sirens to Scrubs, Working in EM by Richard ArmourLeave a Comment

Disclaimer: The procedures and therapies discussed in this post are extrapolated from a number of ambulance services globally. This does not replace the direction of readers’ ambulance service clinical guidelines or protocols and should not be used in place of local guidelines or protocols. If you believe something in this post would benefit your ambulance service, contact your local medical director(s) before altering your own practice.  In Part One of this series our …