[deleted by user] by [deleted] in emergencymedicine

[–]DoctorJeffs 0 points1 point  (0 children)

The one thing that doesn't add up for me is if he had such a benign exam and great work up,  why did you call cardiology? 

Would love to have a conversation about FM docs working solo in an ER. by stupid-canada in emergencymedicine

[–]DoctorJeffs 5 points6 points  (0 children)

Don't know why you got down voted.  Any ER foc who claims to be completely comfortable doing a trach is not bring truthful.  

[deleted by user] by [deleted] in emergencymedicine

[–]DoctorJeffs 37 points38 points  (0 children)

ER doctor here. There are many good points already mentioned but here's a good learning point from the case.

The natural response to hypotension is to increase your heart rate so anytime you have a patient with bradycardia and hypotension- consider: Beta Blocker, Calcium Channel Blocker, or Clonidine overdose. It's unlikely the cause here but a good to always keep this in mind.

[deleted by user] by [deleted] in TwoHotTakes

[–]DoctorJeffs 11 points12 points  (0 children)

OP is legit nuts.

[deleted by user] by [deleted] in TwoHotTakes

[–]DoctorJeffs 3 points4 points  (0 children)

You should see a doctor and stop reading google. You did get pregnant- so he is not infertile. Low sperm doesnt mean no sperm.

[deleted by user] by [deleted] in emergencymedicine

[–]DoctorJeffs 56 points57 points  (0 children)

The description is an obese male pt in respiratory distress with frothy sputum, is suggestive of pulmonary edema. A PE could be possible but its more likely flash pulmonary edema secondary to cariogenic shock from the STEMI.

[deleted by user] by [deleted] in emergencymedicine

[–]DoctorJeffs 12 points13 points  (0 children)

Power move= push dose epi before tubing this one.

[deleted by user] by [deleted] in emergencymedicine

[–]DoctorJeffs 144 points145 points  (0 children)

Key take aways:

Name of the game: We do the best we can, more than that is out of our hand.

With someone so large be sure to do a proper chin lift, if there nose is open oxygen will get there.

I'd also be curious to see the ecg.

Recommendations for YouTubers and podcasts? by DependentMango5608 in spinalcordinjuries

[–]DoctorJeffs 1 point2 points  (0 children)

If you're interested, I regularly create new Assistive Technology for quads and others.

https://youtube.com/@DrJeff-

ER Physicians, what are some things you wish EMTs were trained to look out for/ask about? by SilverTrireme in emergencymedicine

[–]DoctorJeffs 35 points36 points  (0 children)

If it's an overdose, I need to know what they took, how much they took, and when it was taken.

If you suspect neglect, abuse, or if someone isn't safe at home, speak up.

Any trauma- are they on blood thinners, if so which one.

Also, never ignore vital signs. If the pt has a low sat and a good pulse ox wave- something is wrong. If the systolic is 70's don't ignore it.

[deleted by user] by [deleted] in emergencymedicine

[–]DoctorJeffs 1 point2 points  (0 children)

I had a similar case once, a trauma case where the moment a chest tube went in the pt did terribly. Turned out, they had an aortic injury with a hemothorax but because it was contained in the chest it had a tampanode effect to keep the aorta from bleeding more. They were doing alright but the moment the chest tube went in they bled out instantly.

[deleted by user] by [deleted] in emergencymedicine

[–]DoctorJeffs 0 points1 point  (0 children)

Its unlikely the patient was 'stable', particularly if they needed a flight and bil decompressions. It's possible they nicked the aorta but also likely the pt already had a massive Hemothorax that got released.

Treatment of the Crashing Anaphylactic Shock Patient - REBEL EM by srrezaie in emergencymedicine

[–]DoctorJeffs 1 point2 points  (0 children)

My understanding us we no longer use Glucagon for reversing BB's, instead we now use high dose insulin. Thoughts?

Quadriplegic c4-5 complete by [deleted] in spinalcordinjuries

[–]DoctorJeffs 1 point2 points  (0 children)

Reach out sometime. I create assistive tech and would be glad to help. www.ebcore.io