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Total 34 results found since Jan 2013.

76 YOM with Chest Tightness… Peanut Allergy?
Conclusion: Door to Balloon time was <35 min, revealing a 100% occluded Right Coronary Artery.
Source: EMS 12-Lead - May 9, 2014 Category: Cardiology Authors: Ivan Rios Tags: Uncategorized Source Type: research

The Biggest Medical Stories You May Have Missed In 2015
SPECIAL FROM Next Avenue By Craig Bowron As we head into the New Year, let’s take a look back and see what lessons we should have learned from medical science in 2015. The New England Journal of Medicine’s publication Journal Watch provides physicians and other health care providers with expert analysis of the most recent medical research. Below is a brief synopsis of what the Journal Watch editors felt were the most important stories in general medicine for the year 2015. While you likely heard about a couple, others probably escaped your radar. Getting Aggressive with Strokes We’re familiar with the id...
Source: Science - The Huffington Post - January 15, 2016 Category: Science Source Type: news

87 yom complaining of chest discomfort and dyspnea
 On a Thurday morning, approximately 02:15 hrs, in a small rural town, your EMS unit is dispatched to a residence for an 87 year old male with difficutly breathing.   You arrive on scene before the fire engine and enter the residence. Upon entering the bedroom, you find an elderly male, sitting on the edge of the bed, vomiting. He is alert and oriented x 4 (person, place, time, event) and with a GCS of 15. He appears to be in moderate respiratory distress, diaphoretic, with rapid and slightly labored breathing and muscle retraction, but yet, he's smiling at you and tries to ...
Source: EMS 12-Lead - January 28, 2014 Category: Cardiology Authors: Ivan Rios Tags: 12 lead ecg CHF LBBB 12-Lead ECG chest discomfort dyspnea IVAN RIOS sgarbossa\'s criteria STEMI Source Type: research

87 yom complaining of chest discomfort and dyspnea
 On a Thurday morning, approximately 02:15 hrs, in a small rural town, your EMS unit is dispatched to a residence for an 87 year old male with difficutly breathing.   You arrive on scene before the fire engine and enter the residence. Upon entering the bedroom, you find an elderly male, sitting on the edge of the bed, vomiting. He is alert and oriented x 4 (person, place, time, event) and with a GCS of 15. He appears to be in moderate respiratory distress, diaphoretic, with rapid and slightly labored breathing and muscle retraction, but yet, he's smiling at you and tries to...
Source: EMS 12-Lead - January 28, 2014 Category: Cardiology Authors: Ivan Rios Tags: 12 lead ecg CHF LBBB 12-Lead ECG chest discomfort dyspnea IVAN RIOS sgarbossa's criteria STEMI Source Type: research

59 year old male: chest pressure
It’s a hot summer night in the suburbs, most of which you’ve spent on standby for a local baseball game. After clearing up you’re put on a chest pain call a few blocks from your quarters. The local volunteer fire department has a squad on scene which is advising you to, “continue on emergency.” Upon your arrival you find the patient seated on the porch, on O2 via a non-rebreather, in moderate respiratory distress. The volunteer EMT relays that the patient, a 59 year old male, is having 10 of 10 chest pressure which started yesterday. He’s administered 324 mg of aspirin and withheld nitro...
Source: EMS 12-Lead - April 18, 2014 Category: Cardiology Authors: Christopher Watford Tags: ems-topics patient-management 12-Lead ECG case study Christopher Watford EMS 12-Lead Paramedic Source Type: research

Back pain in a cancer patient: a case study.
Abstract Case A man aged 78 years presented to his general practitioner with new-onset low back pain. The patient had metastatic prostate cancer, which was diagnosed 2 years ago, and a solitary asymptomatic bone metastasis in the right pubic bone. To date, he had been managed with androgen deprivation therapy (goserelin) alone. His performance status was good and his prostate-specific antigen (PSA) level stable. His past medical history included hyperlipidaemia and atrial fibrillation. He was on atorvastatin and warfarin. He had no known allergies, was a non-smoker and did not drink alcohol. He reported a 6-week h...
Source: Australian Family Physician - August 1, 2014 Category: Primary Care Authors: Morris L, Gorayski P, Turner S Tags: Aust Fam Physician Source Type: research

Self-assessment/CPD – questions
A 57-year-old woman presented to the emergency department with central chest pain radiating to her jaw, associated with profuse sweating. She had a history of type 2 diabetes mellitus resulting in chronic renal failure, hypercholesterolaemia and hypertension. She was undergoing chronic renal replacement therapy in the form of peritoneal dialysis. She was also taking insulin, aspirin, atorvastatin, lisinopril, amlodipine, doxazosin and erythropoietin. She had no known drug allergies.
Source: Medicine - August 23, 2014 Category: Internal Medicine Tags: Self-assessment Source Type: research

Takotsubo syndrome after heart valve surgery
We present a 68-year-old woman who came to the Emergency Department complaining of palpitations and a 3 days progressive dyspnoea becoming rest dyspnoea. She denied chest pain, dizziness, syncope, fever or other symptoms. The patient had no known allergies and a prior history of dyslipidemia, chronic renal failure, secondary hypothyroidism and rheumatic heart disease, in treatment with atorvastatin, aspirin, levothyroxine, Candesartan/Hydrochlorothiazide and warfarin. She had undergone cardiac surgery a month before (double valve replacement was performed with Carbomedics metallic prosthesis: number 21 in aortic position a...
Source: International Journal of Cardiology - June 18, 2015 Category: Cardiology Authors: Rebeca Lorca, Francisco Callejo, Federico Pun, María Martín, Cecilia Corros, Alberto Alperi, Iria Silva, César Morís Tags: Letter to the Editor Source Type: research

Dose-dependent atorvastatin associated with angioedema
CONCLUSION: While atorvastatin use is not commonly associated with angioedema, the prescriber should be mindful of this possible adverse effect, especially when increasing the dose, or when prescribing together with medications known to cause angioedema (e.g., angiotensin II receptor blockers and calcium channel blockers), which may increase the risk of this adverse event.PMID:34779391 | DOI:10.5414/CP204025
Source: International Journal of Clinical Pharmacology and Therapeutics - November 15, 2021 Category: Drugs & Pharmacology Authors: Ayman M Al-Qaaneh Waleed T Obaid Osama S Al-Mohammadi Ahmad M Al-Qaaneh Ali A Rabaan Shadi M Mustafa Source Type: research