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 [...]
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Recently we had a case that caused some serious rise in our collective blood pressures. Most times I see someone with an “allergic reaction”, it is just hives and itching. Once and a while someone has some lip swelling or some mild wheezing. However, every now and then, someone really craps out from one. A [...] 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. [...] OK, so this is my first real post after restoring the site – I am still working on trying to restore the old images so if you go to an old post, you won’t see any pics (which may be important to understanding the post) and for this I apologise. Hopefully a miracle will occur and [...]
Remember the game “Operation” growing up? You know, the one where you reach into an electric “patient’ and remove things like a “broken heart” or the “funny bone”? If you touched the sides of the trough as you extracted the “organ” you got a little shock and [...]
What are your options when you discover your spouse has been cheating (or you THINK your spouse has been cheating)? Well, I would recommend a cooling off period followed by a marriage counsellor if you still really want to try to patch things up. What I do not recommend is stalking your wife and [...]
Please measure patients’ weights (for peds primarily) in kilograms, no pounds. I know we use pounds in lay-speak but ALL drug dosages are in mg/kilo so if you measure in pounds, you are inviting a screw up. Potentially a dangerous screw up. This was evidenced by a 22 kilo gram patient being weighed in pounds [...] |
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