pH Matters: How Acid-Base Balance Influences Vasopressor Selection
So you have a patient who is acidotic and hypotensive and you need to resuscitate them. Your agency/hospital
Author: SCOPE
Mastering Hyperkalemia
Hyperkalemia is a severe and deadly event which means there is an excessive amount of potassium in the
Hot Air: The Importance and Basics of ETCO2
Hot Air: The Importance and Basics of ETCO2 As professionals in the medical field. I believe that we
Takotsubo Cardiomyopathy (Broken Heart Syndrome)
Takotsubo Cardiomyopathy (Broken Heart Syndrome) Takotsubo Cardiomyopathy is a stress cardiomyopathy where there are ECG changes that show
40 Year Old Man with a WCT! What is Going On?
A 40 Year Old Man with a WCT! What is Going On? Your patient is a 40 year
Hot and Cold: The Katy Perry Understanding of Fevers
As I laid in bed for several days feeling like a truck had run me over and feeling
STEMI Mimics: Brugada Syndrome
Many of us have heard of Brugada syndrome, but what exactly is it? Brugada syndrome is an autosomal
ECG Vectors and Axis
What is an ECG? An ECG is a graphical representation of the electrical activity in the heart, or
Tweaking out on Sugar
In this article, we’ll be discussing more about the complications associated with diabetes which I am sure many
Sugar Attack: What is Type 1 and Type 2 Diabetes Mellitus?
As I inhaled a shareable Kit Kat bag of candy today, I thought I should make a post
Tetralogy of Fallot (ToF)
Apologies for the delay in uploads. I performed an unintentional experiment on my laptop and it did not
Ketamine Use for Benzodiazepine Resistant Status Epilepticus
At some point in your career, you’ll experience a patient in status epilepticus. At times, despite following your
Hypocalcemia in Trauma Patients
Have you ever wondered what is happening pathologically to your hypovolemic trauma patient? You know they’re losing a
Shark Fin STEMI
When we see STEMI, we are hopefully familiar with the obvious ST elevation that even an Uber driver
Pain Management in Patients: When to use Fentanyl, Morphine, or Ketamine
We have all had patients who are in pain and as a provider we need to treat them
Implementing Beta Blockers and Hemodynamic Dosing Epinephrine for Cardiac Arrest
Epinephrine administration during a cardiac arrest has been a hot topic for quite some time. As I was
STEMI Equivalents: LBBB (Smith-Sgarbossa Criteria)
After I finished school, I was told that you couldn’t diagnose a STEMI on a 12 lead if
Cushing’s Triad Pathology and Treatment
So when you first start studying medicine, you try as hard as you can to basically remember the
Intubating the Hypotensive Trauma Patient
We often times recognize a successful intubation as passing the tube through the cords. In reality, there’s a
Crystalloid Fluids 101
Everyone in medicine knows about IV fluids, but not everybody knows what they actually are and why certain
Pump Up that Balloon Before Your Patient is Doomed: REBOA in Trauma
Hemorrhage is the leading cause of death in trauma. Patients with intra abdominal, pelvic, or intrathoracic hemorrhages have
STEMI Equivalents: De Winter’s T Waves
This is our second installment of STEMI Equivalents. Check out our first one on Wellen’s Syndrome. So let’s
Is This a STEMI? ECG Changes in TBI and Increased ICP Patients
For those who wish to watch on YouTube: When it comes to ECGs, you know that we highly
Should We Abandon Pharmacological Interventions in our Cardiac Arrest Patients?
This article was written for adult cardiac arrest patients which are non-traumatic and cardiac related, When we have
Hyperventilation in Cardiac Arrest
Have you ever been working a cardiac arrest and noticed your partner or another responder is squeezing the
A Systematic Approach to Interpreting a 12 Lead ECG
If you want to watch the YouTube video on this post check out the video below. Before we
Ketamine Use in the Prehospital Setting
Ketamine? What is it? What’s it used for? Where did it even come from? Ketamine is a pharmacological
Using ETCO2 to Determine ROSC
This is our first featured post on how to use ETCO2 in determining return of spontaneous circulation (ROSC)
The Benadryl TikTok Challenge: Diphenhydramine Overdoses
If you want to just listen to the blog, watch the youtube video listed below. There is a
The Breathtaking Facts of Pulmonary Embolism
S1Q3T3….S1Q3T3… We are taught this time and time again when using a 12-lead ECG to help confirm the
STEMI Equivalents: Wellen’s Syndrome (Ode to Dr. Hein Wellens)
We decided to make a series where we talk about STEMI equivalents and we’ll hit on each one
Recognizing a Subtle STEMI (Occlusion Myocardial Infarction)
For those who wish to hear our lecture on Youtube: here is the video Normal Cardiac Cell Depolarization
Tranexamic acid (TXA) in Trauma
TXA in trauma has been a hot topic for several years in the medical community…. So why bring
Wide Complex Tachycardia: SVT with Aberrancy vs VT, WPW, TCA OD, and HyperK
For you YouTube video: What exactly is a wide complex tachycardia (WCT)? A WCT is a rhythm with
The Severe Asthmatic: Atrovent, Albuterol, Corticosteroids, Magnesium.. And Low-dose Ketamine…
To watch the lecture, click the YouTube Video! With patients experiencing severe asthma exacerbation you generally need to
The Baby Steps in Wolff-Parkinson-White syndrome
Here is the powerpoint presentation with audio: For those who would rather read than watch/listen to the powerpoint
The Silent Death of the Young: Hypertrophic Obstructive Cardiomyopathy (HOCM)
You have a 14 year old male patient who experienced a syncopal episode. You quickly obtain a 12-lead
Reperfusion AIVR
You respond to a 60 Y/O male patient complaining of substernal chest discomfort. After working in his garage
An Ominous ECG Finding: Spiked Helmet Sign
You respond to a patient complaining of intense abdominal pain and dyspnea. Due to the complaint you run
Automated Non-Invasive BP Monitoring
I think we all can agree that having an understanding of our equipment and its limitations plays a
Opioid-Related/Naloxone- Induced Non-Cardiogenic Pulmonary Edema
A couple years ago, my partner and I responded to a patient in her early 20s. Patient was
ECG Rhythm Review
Sinus All sinus rhythms have the impulses occurring in the SA node and are regular. Because the impulse