0:00 Introduction
1:10 Ondansetron and QT Prolongation
6:23 Steroids for Allergy/Anaphylaxis
13:28 Steroids on Steroids (Croup)
19:03 Both-sides: AAA
27:20 20 Minutes and Medical Cardiac Arrest
29:23 Oxygen in a MI
Ondansetron and QT Prolongation: Is the administration of ondansetron contraindicated for patients with known prolonged QT? If a 12 lead indicates a prolonged QT interval, should we avoid giving ondansetron to a patient with nausea and vomiting?
Steroids for Allergy/Anaphylaxis: For allergic reactions, could paramedics patch for dexamethasone as part of their treatment? Even knowing it takes hours to work? Would prednisone be a better choice?
Steroids on Steroids: The Croup medical directive says dexamethasone is contraindicated if the patient has received steroids within the last 48 hours. Does this apply to any particular administration of steroid (ie: po, topical, inhaled, or parenteral) the way it is written in the Bronchoconstriction directive?
Both-sides-ing: When evaluating a patient with a AAA, why do we compare bilateral arm pressures? Would bilateral leg pressures provide similar or greater sensitivity?
Twenty Minutes in Cardiac Arrest: We received a few questions about Medical Cardiac Arrests and "20 minutes." How to manage a patient who arrests in the back of an ambulance that is already en route to hospital? Is the expectation to pull over and perform 20 minutes of resuscitation before resuming the journey? What about a post-arrest patient with ROSC who then rearrests in the ambulance? Do we hit the brakes or keep going?
Oxygen in a MI: High flow oxygen to a patient having an acute MI/STEMI who is symptomatic from coronary hypoperfusion... do we give it or not? Is there a rationale for withholding high flow oxygen?
Негізгі бет AskMED August 20, 2024
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