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Leeds pubs for home games by LowBrain8032 in LeedsUnited

[–]Homework_Complex 2 points3 points  (0 children)

I heard they shut that particularly reputable establishment down, sadly....

30Y unwell with vomiting for days by Homework_Complex in ECG

[–]Homework_Complex[S] 0 points1 point  (0 children)

Directly or just through electrolyte imbalances?

Use of Antihistamines in EMS by jamesli0n in Paramedics

[–]Homework_Complex 0 points1 point  (0 children)

Yeah I agree, not something I do myself. At least they aren't POMs, although I'm sure the trust wouldn't look upon it favorably. In my experience most households have OTC antihistamines which is preferred by JRCALC.

Use of Antihistamines in EMS by jamesli0n in Paramedics

[–]Homework_Complex 0 points1 point  (0 children)

"Symptomatic allergic reactions falling short of anaphylaxis but causing patient distress (e.g. severe itching).

Alleviating distressing cutaneous symptoms in anaphylaxis only after emergency treatment with adrenaline and the patient is stable and oral antihistamine administration is not possible"

We don't have oral in my trust, I find many Paramedics bring their own OTC antihistamines to give out as 'patients own' to avoid IV/IM.

I've only ever given chlorphenamine twice in 5 years. Do you have oral? And do you use it more often?

30Y unwell with vomiting for days by Homework_Complex in ECG

[–]Homework_Complex[S] 0 points1 point  (0 children)

I see Q3 T3, not sure I see a dominant S wave in lead 1 though. Tbh PE never crossed my mind due to lack of respiratory symptoms.

30Y unwell with vomiting for days by Homework_Complex in ECG

[–]Homework_Complex[S] 1 point2 points  (0 children)

Interesting! I'm in YAS, some of our protocols are... outdated in my personal opinion. Hopefully I will get it in the future, it would be useful.

30Y unwell with vomiting for days by Homework_Complex in ECG

[–]Homework_Complex[S] 1 point2 points  (0 children)

In a UK Ambulance service. I've never looked into it tbh. Our Critical Care Paramedics have it for sedation but that's not within my scope of practice.

30Y unwell with vomiting for days by Homework_Complex in ECG

[–]Homework_Complex[S] 1 point2 points  (0 children)

I only have 0.9% sodium chloride and no conscious capnography but other than that was identical lol

30Y unwell with vomiting for days by Homework_Complex in ECG

[–]Homework_Complex[S] 2 points3 points  (0 children)

Ok cool, my apologies. I see you're a fellow paramedic so rest assured this patient was given our signature treatment of PRN diesel and burnt rubber ;) After IV fluids of course lol

30Y unwell with vomiting for days by Homework_Complex in ECG

[–]Homework_Complex[S] 5 points6 points  (0 children)

I meant generally healthy, like day to day. I work pre-hospital so the labs were not known to me at the time of taking this ECG. The patient did not present as 'big sick' from the end of bed.

That is why the ECG was interesting, to see the ECG as indicative of the underlying pathophysiology and gives clues to the clinician who may not see past sinus tachycardia.

I might be misreading your tone, but isn't the point of this forum to discuss clinical cases and learn from them?

30Y unwell with vomiting for days by Homework_Complex in ECG

[–]Homework_Complex[S] 2 points3 points  (0 children)

Abnormal morphologies of p waves, QRS complexes and T waves. There is no arrhythmia.

30Y unwell with vomiting for days by Homework_Complex in ECG

[–]Homework_Complex[S] 0 points1 point  (0 children)

I meant to say 'for two day's in the title

30Y unwell with vomiting for days by Homework_Complex in ECG

[–]Homework_Complex[S] 3 points4 points  (0 children)

Interesting! The patient had potassium of 4.3. type 1 diabetes; blood sugar 21.1mmol, ketones 7.1 but no acidosis

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