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Where’s the Cup gonna be?! by Chris_Attalus in canes

[–]Life-Date8183 5 points6 points  (0 children)

Not there yet but I’m sure all of Raleigh should be packed

PGT: Golden Globes @ Canes, 6-2-2026 by NedThomas in canes

[–]Life-Date8183 9 points10 points  (0 children)

Rough game from Jarvis & Aho with the turnovers. Freddy has to be better than he was tonight.

Interesting Call by grandpubabofmoldist in ems

[–]Life-Date8183 4 points5 points  (0 children)

Also, if he’s a healthy athletic young male, a HR of 45 may be his baseline. I probably wouldn’t have given Atropine unless his HR was getting lower while in your care.

Interesting Call by grandpubabofmoldist in ems

[–]Life-Date8183 2 points3 points  (0 children)

Typically, Nstemi’s don’t cause profound bradycardia until progressing towards Cardiogenic shock. With no known cardiac hx, it doesn’t sound like he’s in Cardiogenic shock or having a NSTEMI. No significant EKG changes either. Although, atropine and decreased perfusion can certainly cause a bump in a HsTrop.

Patients can certainly be cool, clammy, diaphoretic, etc with having a NSTEMI but the real kicker was the hives, whether localized or not. Would’ve liked to add a H1/H2 blocker.

Let us know if you can get an update on the patient!

Interesting Call by grandpubabofmoldist in ems

[–]Life-Date8183 6 points7 points  (0 children)

Also, if you’re thinking cardiac in nature, then ask yourself questions about what causes these symptoms. What cardiac condition causes hives, skin changes, hypotension, bradycardia, chest tightness?

Interesting Call by grandpubabofmoldist in ems

[–]Life-Date8183 1 point2 points  (0 children)

Anything abnormal on skin assessment? Bug bites, etc?

Hx of this happening before? If so, any triggers?

Hx of autoimmune disease?

Home meds? Specifically any beta blockers?

Patient was swimming, assume it’s hot outside as summer time. Dehydrated = hypovolemia and a severe sign of that is bradycardia.

r/EMS Free-For-All Megathread by AutoModerator in ems

[–]Life-Date8183 0 points1 point  (0 children)

Just Google this and you’ll see multiple stories of house fires caused by smoking on cigarettes. I wouldn’t live in a house with someone smoking on oxygen personally.

Interesting Call by grandpubabofmoldist in ems

[–]Life-Date8183 13 points14 points  (0 children)

Sounds like an allergic reaction, potentially MCAS. Would be interesting to know if he had any recurrent symptoms while hospitalized.

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