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Patient in Compensatory Stage of Shock Found to Have Fecal Matter in Intercostal Space
Medic 61, a BLS ambulance with three personnel, and EMS 60, a rapid response vehicle staffed with a paramedic, are dispatched to a rural address for a male patient with difficulty breathing. A chief officer is added after the communication operator updates that the "patient is on the floor 'changing color,'" suggesting that the patient may be in cardiac arrest. The EMS crew finds the patient lying on the bathroom floor, mottled and trying to talk, but without enough tidal volume to speak. He's immediately moved to the living room floor and a nasopharyngeal airway is placed before a crew member begins assisting re...
Source: JEMS Patient Care - February 1, 2017 Category: Emergency Medicine Authors: David Hughes, MD Tags: Patient Care Source Type: news

A Double Sequential External Defibrillation Review and Discussion
One Tuesday morning, a Bernalillo County Fire Department (BCFD) engine and paramedic rescue unit are dispatched to a 58-year-old male who's suffering a witnessed cardiac arrest at his home in a very rural service area. They arrive on scene simultaneously with Albuquerque Ambulance, the ALS transport service, nine minutes after the 9-1-1 call. Family members are providing dispatcher-assisted bystander CPR. The crews jump into action and began resuscitation according to local protocols, which includes manual pit crew CPR for a non-hypoxic adult cardiac arrest (specifically, six minutes of continuous chest compressions and pa...
Source: JEMS Patient Care - December 1, 2016 Category: Emergency Medicine Authors: Brenda J. Lanan, MD Tags: Cardiac & Resuscitation Source Type: news