Not Just Acid Reflux: The Need to Think Worst First

A previously healthy, well-appearing 42-year-old female living in a modern, high-rise apartment in downtown Los Angeles calls 9-1-1 at 5:30 am complaining of worsening of a burning, epigastric pain she had been experiencing for the last three days. She reports associated nausea and non-bloody, non-bilious vomiting, and that she couldn’t manage to get comfortable in bed until she finally decided to call for help at daybreak. During her 9-1-1 call, she reports “pain, like heartburn, that just woke me up again and I had to throw up, … and then I was sweating so much.” Using the Los Angeles Tiered Dispatch System, the 9-1-1-telecommunicator couldn’t discern whether the patient was actually having abdominal or chest pain and opted to dispatch a chest pain (age> 40) dispatch code, launching a paramedic unit from the busy downtown fire station. Upon arrival, paramedics find a young, fit-appearing Hispanic female sitting in her living room, reporting a “burning sensation in her throat.” She tells medics that she has a history of acid reflux but states that she wasn’t having any relief with her usual Tums. She also states that she usually feels like this after drinking alcohol, and that she had a few drinks last night and smoked some marijuana. Her vital signs are within normal limits, her abdominal exam was benign, and she requests “something to help with her reflux,” but she ultimately refuses transport to the ED. No fu...
Source: JEMS Special Topics - Category: Emergency Medicine Authors: Tags: Exclusive Articles Cardiac & Resuscitation Source Type: news

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Journal of Human Hypertension, Published online: 27 January 2022; doi:10.1038/s41371-021-00652-yFocus on today’s evidence while keeping an eye on the future: lessons derived from hypertension in women
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This article is licensed under aCreative Commons Attribution 3.0 Unported Licence.Mauro A. Rinaldi, Clara A. Ferraz, Nigel S. Scrutton Terpenoids are a diverse group of chemicals used in a wide range of industries. They can be made through alternative metabolic pathways to reach the higher needed for biomanufacturing. The content of this RSS Feed (c) The Royal Society of Chemistry
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 Launca Medical is thrilled to announce its official US debut at this year's Chicago midwinter meeting Feb 24-26thThe primary Launca 20x20 booth will be in Chicago's McCormick Place West building Booth #5034,as well we have a booth in the LMT Lab Day meeting at the Hyatt Regency Chicago. Our entire North American executive team will be on hand for this meeting and looking for new dealer and lab partnerships to work together in 2022! Launca Medical Device Technology Co., Ltd. (Launca) is a leading provider of innovative scanning solutions in digital dentistry. Established in 2013 by Dr. Jian Lu...
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Medtronic announces FDA approval of spinal cord stimulation therapy for treating chronic pain resulting from diabetic peripheral neuropathy /PRNewswire/ -- Medtronic plc (NYSE:MDT), a global leader in healthcare technology, today announced it has received U.S. Food and Drug Administration approval... www.prnewswire.com "Medtronic estimates that up to 800,000 US patients suffer from moderate to severe DPN symptoms that are not resolved through conventional medical management approaches, like drugs. The company views these patients as potential ...
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