Beta blockers are common medications that we see in patients. Remember the mnemonic “BAD FISH”. 🐠
Bradycardia/Bronchospasm
Arrhythmia/AV Block
Depression/Dizziness
Fatigue
Impotence
Signs of hypoglycemia masked
Hypotension

#FOAMed #nurse #paramedic #ems #emt #medical #meded

🩸 enters the RA from the vena cava
➡️ Tricuspid valve
➡️ Right ventricle
➡️ Pulmonic valve to the pulmonary artery
➡️ Blood is oxygenated in the 🫁
➡️ Pulmonary vein brings blood into the right atrium
➡️ Mitral valve
➡️ Pools in the left ventricle
➡️ Aortic valve to the aorta
#FOAMed #meded

Appendicitis is an abdominal emergency with a “classic” presentation of periumbilical pain that radiates to the RLQ, nausea, vomiting, anorexia. They can also develop a low grade fever, indigestion, and diarrhea.

Findings 🧪
Leukocytosis with left shift
#FOAMed

🔴 Spontaneous: This is your natural breathing pattern

🟡 CPAP: delivers a constant, steady pressure throughout the breathing cycle. Think of it as a steady push to keep the airway open.

🟢 BiPAP: provides two different pressure levels IPAP (Inhalation) and EPAP (Exhalation).
#FOAMed #meded

Pt 2

#ecg #ekg #emergencymedicine

Pt 1

Here is an EKG case that was sent to me several years ago.
60 year old with 4/10 substernal chest discomfort at rest. He was given 324 mg of ASA prior to arrival by a cardiologist.
Presentation: cool and clammy and anxious
Reports no medical history 👀.

What do you see?

#FOAMed

Posterior reversible encephalopathy syndrome, or PRES (AKA Reversible Posterior Leukocephalopathy Syndrome) is a neurologic syndrome that is caused by vasogenic edema, mostly occurring in the posterior brain.

🧠 Symptoms:
1️⃣ Headache
2️⃣ Visual changes
3️⃣ Seizures
4️⃣ Confusion or coma
#FOAMed #meded

The endogenous hormone is made in the paraventricular nucleus of the hypothalamus and released by the posterior pituitary. It is primarily used to induce uterine contractions for labor induction and to manage postpartum hemorrhage (PPH).

#FOAMed

Epidural hematomas are most commonly caused by head trauma in young patients. The most common vessel is middle meningeal artery (MMA).

CT findings:
1️⃣ Lens shaped
2️⃣ Convex/biconvex
3️⃣ Lemon shaped 🍋
The “textbook” presentation
1️⃣ Brief LOC
2️⃣ “Lucid interval”
3️⃣ Rapid deterioration

#FOAMed #nurse

Lead III and aVL are best friends when it comes to their reciprocity. I like to see them as best friends because when there is an issue in one of them, I look to the other for reciprocal changes. One of the earliest signs of a subtle STEMI is hyperacute T waves.

#FOAMed #nurse #paramedic #STEMI