Medical Monitoring
The Medical Monitoring topic contains news and information about medical monitoring, outlines the current trends and what the future may hold for EMS providers.
Day 1 of the Wisconsin EMS Association conference featured sessions on sepsis, electrolyte imbalances, facial trauma and traumatic amputations
For your reference: A pediatric vitals chart broken down by age range
The drug we use most often in EMS can cause harm if we give it without good reason
Hypothermic trauma patients are less likely to survive their injuries, when compared to similar patients who are normothermic
A-Fib is the most common cardiac rhythm disturbance and failing to treat it properly could result in a stroke
What does vitamin B1 deficiency mean in the prehospital environment?
Understand the components, indications and patient management considerations for circulatory support systems
Patient with history of CABG has tachyarrhythmia and elevated troponin and wants to leave the hospital against medical advice
What’s your assessment and care for a patient who has tachyarrhythmia, an abnormal EKG and elevated troponin?
Understand the four phases of the Valsalva effect and how those phases effect a stable supraventricular tachycardia
Use the AEIOU TIPS mnemonic, along with 12-lead EKG interpretation, to identify possible causes of reduced level of consciousness
What’s your assessment and care for a patient who had a headache the night before and now has a GCS of 9?
Patient with a 3rd degree AV block needs rapid assessment and treatment to prevent deterioration in her clinical status
What’s your assessment and care for a patient who has a heart rate in 30s and needs a ride to her cardiologist’s office?
A combination of history findings, scene clues and EKG interpretation skills help paramedics quickly identify a TCA overdose
The signs and symptoms are due to an activated sympathetic nervous system
What’s your assessment and care for a suicidal patient who has ingested a mix of alcohol and medications?
This case illustrates the EKG changes from hyperkalemia secondary to missing dialysis
What’s your assessment and care for a patient with history of renal insufficiency and who is not feeling well?
This case explains the expected 12-lead EKG findings after successful STEMI treatment and reperfusion
What’s your assessment and care for a patient who had evidence of a STEMI, but is now pain free?
A differential diagnosis for a patient with two weeks of chest pain casts a wide net for all possible causes
What’s your assessment and care for a patient who has had two weeks of persistent chest pain?
Atrial fibrillation in WPW can lead to ventricular fibrillation so don’t delay treatment with cardioversion or medications
What’s your assessment and care for patient who has no palpable pulse, hypotension and reduced level of consciousness?
Wellens’ syndrome consists of two types of T wave changes in the anterior leads that are associated with critical LAD stenosis
What’s your assessment and care for two patients who had chest pain, but are now symptom free?
A right-sided 12-lead EKG can identify signs of a right ventricular infarct to guide patient care decisions
What’s your assessment and care for patient who has severe chest pain radiating to his left arm?
Combination of risperidone, haloperidol and levofloxacin may have put a patient with psychiatric illness and seizures at high risk for prolonged QT
What’s your assessment and care for a psychiatric patient who was sedated with haloperidol after a seizure?
Serial 12-lead EKGs are used to recognize the difference between STEMI and NSTEMI in a patient with chest discomfort
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