District Captain Steve Campana brings us some EMS Tips & Tricks.
Пікірлер: 14
@donjustin47759 жыл бұрын
What a few cool little tricks sir... This is the man to be an intern with good on you
@briankofke7 жыл бұрын
That was awesome. How very helpful.
@nelsonmarques18747 жыл бұрын
Nice video guys! Congrats
@TheNfields2607 жыл бұрын
very nice tips and tricks but did I understand you are withholding NTG in STEMI?
@christhomas73646 жыл бұрын
Inferior STEMIs to be exact. These pts have a higher incidence of developing profound hypotension when nitrates are administered.
@hoopmixtape23ify6 жыл бұрын
As Chris Thomas said, you absolutely DO NOT give Nitro for an inferior STEMI. Giving nitro can cause the SBP to significantly drop. In a patient is having a inferior stemi, you know that the right ventricle (RV) is involved and the RV is preload dependent. So if you have a hypotensive patient who’s experience of a inferior MI, you should give a fluid bolus titrated to a SBP > or = 90
@harnesslr25946 жыл бұрын
You only know RV is involved if V4R has elevation. If it doesn't then Nitro is ok. BP >90 of course. I've had numerous inferior STEMIs where V4R wasn't elevated and given nitro.
@krismorgan016 жыл бұрын
Inferior MI just means that it’s possible that the right side is affected... you need to do a 15 lead to determine after you do your 12 lead.
@aprilweisler70036 жыл бұрын
Thank you!
@wabisabi_miata4 жыл бұрын
Thank you
@kellyruddy60645 жыл бұрын
That is cool
@kellyruddy60645 жыл бұрын
I remember it.
@kellyruddy60645 жыл бұрын
How does it work?
@Shepard11115 жыл бұрын
Well it's a good tick.. However i don't think it's such a good idea to give nitro before knowing 3 things. 1. Allergies 2. Patients blood pressure.. and 3. if they got an back wall infarction. It could be deadly as it could trigger and irreversibel pressure loss.. Also if you take viagra he shouldn't have nitro either.. Moral of the story: it only takes a few minutes to get things right the first time.