Inferior STEMI? Check the right ventricle before you reach for nitro
Up to half of inferior MIs involve the right ventricle. Here's why that changes the nitro decision, how V4R finds it in under a minute, and what to do when the pressure drops.
One call, decision by decision: what the rules say and why.
12 articles
Up to half of inferior MIs involve the right ventricle. Here's why that changes the nitro decision, how V4R finds it in under a minute, and what to do when the pressure drops.
Births in the back of an ambulance are uncommon, which is exactly why they unsettle experienced crews. A case-based walk through delivery, shoulder dystocia and postpartum haemorrhage.
Two breathless patients, two different diseases, one shared trap: mistaking exhaustion for improvement. A case-based look at asthma and COPD flare-ups on the road.
Drowning resuscitation turns the usual cardiac arrest priorities around. We break down a lakeside call to show why ventilation comes first, when spinal precautions are warranted and what aftercare needs.
When bleeding is life-threatening, the order of operations changes. A case breakdown of recognising major hemorrhage, placing a tourniquet well and packing wounds a tourniquet cannot reach.
A vague complaint of indigestion, an early 12-lead and a fast pre-alert. We break down the decisions that get a STEMI patient to the cath lab sooner, and the mimics that trip crews up.
Cold patients punish rough handling and reward patience. A case breakdown of a hypothermia call from the snowbank to the right hospital, including the cardiac arrest decisions most crews rarely face.
Hypoglycemia is one of the few calls where the patient often wakes up in front of you. That is when the harder decisions start: which route, why it happened and whether it is safe to leave.
Sepsis rarely announces itself. This case breakdown follows a quiet, confused older patient and shows where field recognition, screening and an early pre-alert change the outcome.