Case of the Month

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School Policy Leads Nurse to Shock Concious Boy with AED

School Policy Leads Nurse to Shock Concious Boy with AED

November 23, 2015

The patient was cardioverted with an AED while conscious, breathing & hemodynamically stable.

Only trained rescuers should enter the scene, wearing protective clothing and self-contained breathing apparatus to limit exposure to potential poisons.

Early Recognition and Management of Inhalational Injury Can be Lifesaving

November 2, 2015

Toxic inhalations are common and occur both at home and in the workplace.

Entrapped Yet Conscious Patient Presents Unique Aspects to MVC

September 29, 2015

The challenges in patient care included limited access with very limited ability to assess the patient’s injuries and the uncertain time to extrication.

Two Patients Have Unusual Overdose Symptoms

September 4, 2015

Be aware of all symptoms of IV drug users.

Ex-Addict Turns Blue From Adverse Ingestion Reaction

August 10, 2015

Mesa Fire and Medical Department Engine 203 is dispatched code 3 to a residence for a possible adverse reaction from ingestion. 

400-Pound Patient Impales Himself Twice Falling on Magazine Rack

July 14, 2015

The dowels penetrated the posterior right buttock and continued through to his lower abdomen and pelvis.

Dyspnea After Small Electrical Fire Puzzles Medics

June 8, 2015

What causes this patient to return to the ambulance for a second assessment?

Epileptic Effect: The Aftermath of a Seizure isn’t Always What it Seems

May 4, 2015

You and your partner are dispatched to a 60ish-year-old female with signs and symptoms of a possible stroke.

Which Came First, the Trauma or the STEMI?

April 6, 2015

Determine a root cause to enact the best patient care.

Pediatric Patient Loses Spontaneous Respirations

March 10, 2015

Appropriate management of a myasthenic crisis can be lifesaving.

Pain Management is the Same for Every Patient

January 26, 2015

All pain should be treated equally.

Be Wary During ECG Analysis in the Geriatric Population

January 6, 2015

How would you treat this patient?

Hidden Object-Turned-Lawnmower-Projectile Causes Surprise Heart Agitation

December 1, 2014

How would you treat this patient?

Consider All Differentials for Respiratory Distress

November 7, 2014

A patient with CHF and COPD experiencing respiratory distress may have another acute disease process present.

Don’t Underscore the Value of a Trauma Assessment

October 1, 2014

At 4:12 p.m. on a sunny summer day, Ambulance 5 is dispatched for a “sick person.” Dispatch notes advise the patient is a 25-year-old male who’s had abdominal pain for two days. While responding to the initial dispatch, the polic...

Syncopal Patient Exhibits Weird Symptoms

September 15, 2014

Medic 71’s two paramedics have finished their daily station chores and are just sitting down to lunch. The morning had been light, with only one call thus far in the shift. Just as they’re taking their first bites, the overhead tones r...

Previously Healthy Drug User has Difficulty Breathing

August 5, 2014

At 3 a.m. you’re dispatched to a trailer park for a 26-year-old male with difficulty breathing. Once on scene, the patient’s girlfriend directs you inside. The living conditions are poor, with old trash lining the hallways and drug par...

Noninvasive Positive Pressure Ventilation an Alternative to Intubation?

July 7, 2014

At 3:30 p.m., Mesa Fire and Medical Department (MFMD) Engine 218 was dispatched for a 54-year-old male with difficulty breathing. Upon arrival, we encountered a small singlewide trailer with limited access. Our patient was in the back bedroom comp...

Not All Clinical Clues Point in the Right Direction

June 2, 2014

“Medic 72 from the comm center.” “Go ahead comm center, this is Medic 72.” “I need you to respond to 314 Woodward Street on a delta response for an unresponsive overdose, 19-year-old female, police and fire are en r...

Infant Boy’s Struggle to Breathe Isn’t Respiratory in Nature

May 2, 2014

Clearwater Fire and Rescue and a transport service ambulance are dispatched to a local pediatrician’s office at 6 a.m. for a baby with trouble breathing. Upon arrival, the responders hear audible grunting as they walk down the hallway toward...

Thoroughly Investigate and Treat All Reversible Causes in Head Injury

March 27, 2014

During a pickup hockey game at a local ice arena, Peter, a 27-year-old male, takes a hard fall onto the ice. He lands face first, causing an episode of epistaxis. His fellow players pick him up and make him sit until the bleeding from his nose sto...

This young patient’s coughs led to her vomiting, becoming pale and slightly cyanotic, and losing consciousness.

Pediatric Coughing Spell Could be More than Respiratory Distress

March 3, 2014

How medically serious is this 5-year-old’s cough?

Mechanical CPR Helps Save the Day—and the Patient

January 29, 2014

On a later summer night, Phillip Solomon, a healthy 61-year-old male with no known medical history, is walking out of Macungie (Pa.) Memorial Park after attending a car show. Suddenly, he falls to the ground, striking the back of his head. Solomo...

Prolonged Bystander CPR Makes the Difference in Philadelphia Airport Cardiac Arrest

January 9, 2014

On Aug. 22, 2013, Sue Hostler arrives at the Philadelphia International Airport to catch a flight home. A frequent business traveler, she knows her way around the airport and runs to get on an elevator in a remote area of Terminal F, which is used...

Using Video Laryngoscope for Foreign Body Airway Obstruction

December 10, 2013

Paramedics from the Montgomery County (Texas) Hospital District (MCHD) are dispatched to a reported cardiac arrest at a local skilled nursing facility. The fire department first responders make initial contact and report the patient is in respirat...

Swollen Tongue Necessitates Nasotrachael Intubation

October 7, 2013

A 60-year-old man is found face down on the bathroom floor by family members who checked on him after not hearing from him in three days. On EMS arrival the patient is found to be tachycardic with a normal blood pressure, and has marked facial swe...

Motor Vehicle Crash Patient Presents Puzzling Trauma Injury

July 19, 2013

It’s a cool, wintry day as last-minute Christmas shoppers make their way down an extremely congested highway leading into a local community of approximately 100,000 people. An EMT and a paramedic are sitting in their mobile intensive care un...

Angioedema Not Caused by Allergic Reaction

June 21, 2013

A 68-year-old woman was attending a wedding reception in a local church on a hot Saturday afternoon. After having a glass of champagne, she decided to eat eight chocolate-covered strawberries that were elegantly placed on the table. Shortly therea...

NASCAR Fan Presents with Significant Chest Pain and Numbness

May 9, 2013

Of the 36 NASCAR races held each year, two of them take place at the Pocono Raceway located in Long Pond, Pa. During each race in this rural mountainous location within the Poconos, the racetrack becomes the third largest city in the state with 11...

Young Patient is Unresponsive with a Slow Heart Rate

April 23, 2013

The mother of the 3-year-old is frantic when she meets you at the door. She leads you to the family room where her child, Braden, is lying on the floor with his grandmother next to him. His mother is concerned because she can’t get him to wa...

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