Make the Diagnosis: Dizziness Dilemma
(MedPage Today) -- Case Findings: The patient is a 42-year-old African American man who presents with a complaint of dizziness lightheadedness which occurred when he was standing up to go to the rest room 3 days ago. He denies any previous syncopal episodes. He has medically managed hypertension, hypercholesterolemia, cardiomyopathy with last ejection fraction of 35% with defibrillator placement 4 months previous. His ICD did not fire during the episode. His last cardiac catheterization prior to ICD implantation revealed normal coronaries. Patient has been compliant with metoprolol 25 mg twice daily, lisinopril 10 mg daily...
Source: MedPage Today Endocrinology - April 26, 2016 Category: Endocrinology Source Type: news
Strategies for the Prehospital Treatment of Stable Ventricular Tachycardia
Patients with stable v tach may experience a constellation of symptoms but generally don’t require cardioversion unless instability develops. Photo Matthew Strauss
You’re dispatched for an “ill” 55-yearold male. Upon arrival you find him sitting on the sofa in no apparent distress. He states he’s been feeling ill for the past three days. He’s otherwise asymptomatic.
Initial assessment reveals an intact airway, normal breathing and clear lungs, no neurologic deficits, and no gross abnormalities on exposure.
During the circulation exam, you note a regular rhythm with a fast heart rate. Capillary refil...
Source: JEMS Patient Care - March 1, 2016 Category: Emergency Medicine Authors: Eric Cortez, MD Tags: Cardiac & Resuscitation Patient Care Source Type: news
Studying for USMLE Step 2? Master this most missed question
Studying for the United States Medical Licensing Examination® (USMLE®) Step 2 may seem daunting, but not to fear. Starting this month, we’re giving you an exclusive scoop on the most missed USMLE Step 2 test prep questions and expert strategies to help you beat them. Check out this month’s most challenging question, and view an expert video explanation of the answer from Kaplan Medical.
Welcome to the first Step 2 post in AMA Wire’s® series, “Tutor talk: Tips from Kaplan Medical on the most missed USMLE test prep questions from Kaplan’s Qbank.” Each month, we’re revealing the top questions students miss...
Source: AMA Wire - February 24, 2016 Category: Journals (General) Authors: Amy Farouk Source Type: news
Identifying Acute STEMI in the Presence of Paced Rhythm
EMS responds to a local coffee shop for a 77-year-old male who has reportedly fainted. While en route the call is upgraded to an unconscious patient and an engine company is dispatched for backup.
On arrival the patient is conscious but lethargic. He appears acutely ill. The skin is pale and diaphoretic. His past medical history includes hypertension, dyslipidemia, myocardial infarction, a coronary artery bypass graft and heart failure. His current medications are aspirin, metoprolol, atorvastatin, lisinopril and furosemide.
Upon further questioning he admits to chest discomfort. His OPQRST assessment is as follows:
≫ On...
Source: JEMS Special Topics - January 18, 2016 Category: Emergency Medicine Authors: Tom Bouthillet, NREMT-P Tags: Case of the Month Special Topics Cardiac & Resuscitation Patient Care Source Type: news
Identifying Acute STEMI in the Presence of Paced Rhythm
EMS responds to a local coffee shop for a 77-year-old male who has reportedly fainted. While en route the call is upgraded to an unconscious patient and an engine company is dispatched for backup.
On arrival the patient is conscious but lethargic. He appears acutely ill. The skin is pale and diaphoretic. His past medical history includes hypertension, dyslipidemia, myocardial infarction, a coronary artery bypass graft and heart failure. His current medications are aspirin, metoprolol, atorvastatin, lisinopril and furosemide.
Upon further questioning he admits to chest discomfort. His OPQRST assessment is as follows:
≫ On...
Source: JEMS Patient Care - January 18, 2016 Category: Emergency Medicine Authors: Tom Bouthillet, NREMT-P Tags: Case of the Month Special Topics Cardiac & Resuscitation Patient Care Source Type: news
Identifying Acute STEMI in the Presence of Paced Rhythm
EMS responds to a local coffee shop for a 77-year-old male who has reportedly fainted. While en route the call is upgraded to an unconscious patient and an engine company is dispatched for backup.
On arrival the patient is conscious but lethargic. He appears acutely ill. The skin is pale and diaphoretic. His past medical history includes hypertension, dyslipidemia, myocardial infarction, a coronary artery bypass graft and heart failure. His current medications are aspirin, metoprolol, atorvastatin, lisinopril and furosemide.
Upon further questioning he admits to chest discomfort. His OPQRST assessment is as follows:
≫ On...
Source: JEMS Special Topics - January 18, 2016 Category: Emergency Medicine Authors: Tom Bouthillet, NREMT-P Tags: Cardiac & Resuscitation Special Topics Patient Care Source Type: news
lisinopril and hydrochlorothiazide, Zestoretic, Prinzide
Title: lisinopril and hydrochlorothiazide, Zestoretic, PrinzideCategory: MedicationsCreated: 7/23/1998 12:00:00 AMLast Editorial Review: 1/14/2016 12:00:00 AM (Source: MedicineNet High Blood Pressure General)
Source: MedicineNet High Blood Pressure General - January 14, 2016 Category: Cardiology Source Type: news
5 Ways To Stop A Nagging Cough
SPECIAL FROM Holiday shopping. Holiday parties. Airplanes. It seems like wherever you go this time of year, you’re bound to find someone coughing on you. Ick. Next thing you know, you’re coughing, too. How to stop your nagging cough? We asked the experts. “Coughing is one of the most common reasons people visit their health care provider,” says Rachel Taliercio, D.O, a pulmonologist with the Respiratory Institute at the Cleveland Clinic. And there are a variety of diseases that cause people to cough. How you treat that cough depends on what’s causing it in the first place. That said, there a...
Source: Healthy Living - The Huffington Post - December 24, 2015 Category: Consumer Health News Source Type: news
Celebratory Excess Drinking Causes Atrial Arrhythmias
It's New Year's Eve and the ball is about to drop. You and your partner respond to a party that's been going for several hours to care for a person who's dizzy. Making your way through the streamers and horns, you're ushered to a back bedroom where you're introduced to Uncle Bill.
Uncle Bill is 52 years old and lying on the bed. He looks up at you and says, "Something's not right, boys." You reach to feel his pulse and ask what he means by his statement. You note the smell of alcohol on his breath as he tells you the evening was going great until he suddenly felt faint and his heart began to race. He sat down and...
Source: JEMS Patient Care - December 22, 2015 Category: Emergency Medicine Authors: Dennis Edgerly, EMT-P Tags: Cardiac & Resuscitation Toxicology Columns Source Type: news
Sun Pharma, Wockhardt recall drugs from US market
Sun Pharma initiated voluntary recall of Bupropion Hydrochloride Extended-¬release Tablets USP (SR), while Wockhardt started recalling its Lisinopril Tablets USP. (Source: The Economic Times Healthcare and Biotech News)
Source: The Economic Times Healthcare and Biotech News - August 30, 2015 Category: Pharmaceuticals Source Type: news
400-Pound Patient Impales Himself Twice Falling on Magazine Rack
Engine 1, an ALS engine company staffed with one paramedic and two EMTs, is dispatched to assist police with a welfare check. On arrival, the crew finds a small, one-story house with the doors locked.
After knocking on the door, a male voice is heard yelling for help. The door is immediately forced open and the crew finds a conscious obese male, lying supine on the floor, impaled by two wooden dowels of a magazine rack. The dowels are penetrating the posterior right buttock and continue through to his lower abdomen and pelvis.
The officer radios dispatch and requests Truck 1 and Rescue 1 be dispatched emergent to the scene...
Source: JEMS Special Topics - July 14, 2015 Category: Emergency Medicine Authors: Matthew Kunkle, EMT PM, CCP Tags: Trauma Special Topics Patient Care Source Type: news
400-Pound Patient Impales Himself Twice Falling on Magazine Rack
Engine 1, an ALS engine company staffed with one paramedic and two EMTs, is dispatched to assist police with a welfare check. On arrival, the crew finds a small, one-story house with the doors locked.
After knocking on the door, a male voice is heard yelling for help. The door is immediately forced open and the crew finds a conscious obese male, lying supine on the floor, impaled by two wooden dowels of a magazine rack. The dowels are penetrating the posterior right buttock and continue through to his lower abdomen and pelvis.
The officer radios dispatch and requests Truck 1 and Rescue 1 be dispatched emergent to the scene...
Source: JEMS Patient Care - July 14, 2015 Category: Emergency Medicine Authors: Matthew Kunkle, EMT PM, CCP Tags: Case of the Month Patient Assessment Special Patients Trauma Special Challenges Bleeding Patient Care Burns & Soft Tissue Trauma Special Topics Source Type: news
