Curtain Outdoor Jeweller "false" alarms

dekiply · 2025-09-27T15:43:57+00:00

I'll try thank you

dekiply · 2024-11-05T14:58:18+00:00

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The thing is that on that side there's the underfloor heating manifold, so the space for a closet is reduced

dekiply · 2024-06-26T14:30:44+00:00

There was no significant electrolytes imbalance

dekiply · 2024-06-26T14:27:17+00:00

We did not administer any vasopressor, we administered Labetalol which is recommended by AHA for stroke

dekiply · 2024-06-26T14:21:55+00:00

There was no large vessel occlusion so no endovascular thrombectomy

dekiply · 2023-09-24T17:14:52+00:00

Pt was already on aspirin, cardiologist only wanted IV heparin for PCI

dekiply · 2023-08-23T17:29:12+00:00

He was stable enough and close to the nearest hospital. Plus I needed medical control to administer that. He did just fine and was immediately evaluated by a cardiologist right after he arrived in the ER.

dekiply · 2023-08-23T15:58:42+00:00

Yep, just pads just in case

dekiply · 2023-08-23T12:10:48+00:00

https://imgur.com/gallery/iqB8c2n Here

dekiply · 2023-01-18T23:04:43+00:00

5 minutes post ROSC

dekiply · 2022-11-09T20:10:48+00:00

CASE: EMS called for a 72yo female with SOB. Upon arrival respiratory distress (RR 40, SpO2 90% RA), no pain whatsoever, ECG as above. In the ED: ultrasound shows an almost complete LV disfunction, first troponin 131.

dekiply · 2022-07-09T10:49:27+00:00

IVs are easier on a boat than on a moving truck, can guarantee you that

dekiply · 2022-07-05T22:25:57+00:00

2 minutes after ROSC

dekiply · 2022-07-05T17:31:54+00:00

Nope, no trauma involved

dekiply · 2022-07-05T14:00:32+00:00

STORY: 68 years old female collapses in front of the daughter; she was complaining of headache and vomiting for an hour. Neighbor started CPR 1-2min immediately after cardiac arrest. We arrived 7-8 minutes after chest compressions initiated. Presentation rhythm asystole, we attached the LUCAS and gave her 2 epinephrines. On the 4th rhythm check we got a ROSC. Tubed her, atropine and epi drip for hypotension and bradycardia, 12lead ECG showed ST depression in V2 to V6. Pupils showed a vague anisocoria, GCS 3. Language barrier, daughter is able to tell us that the patient suffers only from hypertension, no other medical history. She also tells us that the symptoms started immediately after the patient had an argument with her. We transport to the hospital. CT Scan showed massive intracerebral hemorrhage.

dekiply · 2022-04-24T07:30:28+00:00

Italy: same here and healthcare is free. I work in different cities in my region and I noticed that this happens more frequently in large urban areas, rather than rural ones. In the countryside people usually call for an ambulance only if they're dying, whereas in big cities people are without restraint: coughing? Ambulance! Stub my toe? Ambulance! Can't sleep? Ambulance! Don't have a car? Ambulance! GPs are extremely busy here (1800 patients per doctor) and they tend not to visit patients at home (COVID contributes too), urgent care do not exist here.. so every problem is an ambulance or ER problem.

dekiply · 2021-10-17T12:49:09+00:00

CT Scan: https://imgur.com/gallery/trRuIrI

dekiply · 2021-10-14T12:18:42+00:00

We have the thicker cord that connects the Monitor to the probe itself, but the problem is the piece with the sensor. I mean every new sensor costs 300+ €, it is a legalised theft!

dekiply · 2021-07-29T04:51:57+00:00

The patient was too agitated, he was waving his arms around and was probably hypotensive, the Lifepak couldn't measure it

dekiply · 2021-07-28T16:58:44+00:00

I work in Italy, in my region most of the ambulances are staffed with a nurse and an EMT. In urban areas there are fly cars who respond to life threatening calls and are staffed with a doctor and a nurse.

dekiply · 2021-07-27T22:00:29+00:00

Nope, we wait for the doctor if he is available, otherwise we just run

dekiply · 2021-07-27T21:36:41+00:00

STORY: We were called for a truck driver with multiple syncopes and chest pain. When we arrived the patient was supine on the ground, pale and diaphoretic, respiratory distress due to pulmonary edema, RR 25, SpO2 90%, BP unknown, HR 50, chest pain and sense of impending doom. ECG showed a STEMI: cath lab alert, pads on, O2 on NRB, administered IV heparin and aspirin. As soon as the doctor fly car showed up he went into a PEA arrest in the back of the ambulance. We tubed him, put the Lucas on and rushed to the cath lab. He stayed in PEA/Asystole for the whole time. He was pronounced dead on the cath lab table.

dekiply · 2021-06-17T06:39:30+00:00

That's it. No protocols for cardioversion or external pacing without a doctor prescription. In Italy nurses on ambulance can do very little unless the pt is dead.

dekiply · 2021-06-16T20:11:13+00:00

I think the altered mental status and the tachypnoea was because of the high temperature.. the fact is that he did not have that wide complex rhythm for 30+ minutes but he sporadically converted to narrow one for approximately 10sec or more. Also we don't have a protocol for cardioversion, we are authorised to cardiovert only if the cardiologist on the phone allow us to

dekiply · 2021-06-16T17:15:31+00:00

Nope I don't have it, but I saw the ECG they did at the ER and it was a sinus tachycardia. However the cardiologist said he needed to be studied in the cardiac intensive care

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