Sorry to say guys, but when a patient calls EMS and tells you he is anxious and pissed off because he discovered his wife cheating on him, he does not have “hypertensive crisis” with a BP of 180/90. Especially when he carries a diagnosis of HTN which he has not been taking his meds for a [...]
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It is hard enough for me to call family members and tell them that their loved one is either dead or critically ill, let alone having to try to come up with an excuse to legitimise the patient’s behaviour that may have contributed to their condition. Recently, we had a cardiac arrest come in under [...] The other day we had quite a code. A man was in vfib for more than an hour! He was shocked about 20+ times and got endless rounds of meds. On a few occasions, he went into brief sinus rhythm but then degenerated back into vfib after a few beats. We were [...] Somethings eventually go away when you ignore them – like annoying suitors. Although sometimes they become stalkers and can eventually kill you – just ask Gianni Versace. Another example is when you are 25 and are told you have severe hypertension. You are recommended to start medication and have a work up but hell, you’d rather just [...] This is a MUCH worse situation than the pause you get when you give adenosine for supra-ventricular tachycardia. (click on each image above for a bigger view) This guy was on Multaq (dronaderone) and Cardizem (diltiazem) for atrial fib and had 1, 2, 3, 4, FIVE syncopal episodes, three of which were witnessed in his doctor’s office. [...] Listen, if you are a guy in his 50’s with hypertension and high cholesterol, don’t just ignore that discomfort in your chest that you think is gastro-esophageal reflux. Take my word for it, it MIGHT be reflux but it could just as easily be your impending doom. The other night I had a guy with these symptoms for [...] |
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