Case 3 – ECG

Thanks Aaron for sending in this ECG. Hx: 53 yom became stiff at the height of intercourse, had seizure like activity, then unresponsive (exact words from the ePRF). Diaphoresis +++, covered in vomit, urinary incontinent. GCS 11 (3, 3, 5), HR 60, RR 18, BP 70/50, BGL 7.7, Temp 37.2, Pupils 2mm reactive x 2…

Case 2 – ECG

Thanks Shelly and Steph for sending in this case for a 65 yo Male. Clinical findings include; Moderate CP, mild SOB with very slight bilateral crackles, GCS 14 (4, 4, 6), SPO2 92% OA, BP 95/55. What is your ECG interpretation? How do you manage this Pt? What is your management if Pt was less…

HP-CPR Update 2018

Hi all, Thanks for your participation for this month’s C & C! Red Shift HPCPR is coming along nicely with your help!!! We started out our session with Curt giving us some insight into behind the scenes effort St John is making to perfect the details of HPCPR Australasia*. Here is some points that can…

STEMI equivalent

Hi guys, I just had a quick advise from Dr Tony Smith that I’d like to share with you. I was called for a R50 back up for STEMI pathway the other day. EMT/Para crew did well recognising the abnormal ECG and consulted Clinical Desk where they were advised to treat it as STEMI thus…

Case 1 – ECG

Thanks for sending in some interesting ECGs. This is the first post for hopefully a series of cases where you can all share your learning with others. This is an ECG Georgia and Amanda sent in. ecg001 (PDF) Georgia wrote “53yoF, self-presented to GP for dizzy spells and lethargy. Palpated HR 60bpm, irregular with long…

C & C June 18 – Case discussions

Hi all Thanks Aaron, Hannah G, Colin K for showing up and engaging in good discussions. Case 1 – Amiodarone for cardiac arrest secondary to TCA poisoning Aaron will follow it up for us but the first question he asked was about the use of (or contraindication of) amiodarone for cardiac arrest secondary to TCA…

Handovers

By Dr Suzi Hamilton Consultant Emergency Physician “Handover of care is one of the most perilous procedures in medicine, and when carried out improperly can be a major contributory factor to subsequent error and harm to patients.” So said Sir John Lilleyman, medical director of the NHS Patient Safety Agency, at the beginning of his…

Basic Airway Skills – Update

Hi all, Thanks for the good turn out and your contribution to the C & C. Adding to the revision of our previous sessions, CSO Blair Andrews sent a strong message for the use of the lateral positioning for the unconscious patients or Pts with lowered GCS unless intubated. It is often called LTP (Lateral…

C & C Apr/18 – Accidental Hypothermia

Hi guys, First, huge thanks to Dr Malin Zachau for her time and effort in sharing her knowledge. May be a cliché comment, but I found Malin’s passion for the research and her energy to do the right thing was very infectious and inspirational. The session started out with Malin asking us questions around AH,…

ED Observer Shift for Paramedics

This is a blog message to the paramedics who is on the payroll in Christchurch metro, Rangiora, Rolleston, and Kaiapoi. Hi all, Thank you for accommodating the ED staff observing ambulance shifts. The feedbacks have been 100% positive and more ED staff are keen and booked to come and have a look at what we…