U.S. Marine | Paramedic | Writer | Photographer | Adventurer | Teacher | Student | Father | 武士 | Follow/RT≠endorsement.

North Carolina, USA
Joined November 2016
For children with severe croup (stridor at rest), albuterol = no good. Neb 1:1,000 Epi, does NOT have to be racemic! #FOAMed #FOAMems #EMS
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Old Man. Rhythm? I’ll add a post-conversion #ECG in the comments shortly. #FOAMed #EMS cc @Ecgloverr @ecgandrhythmRoe @IrmaMDv @ECGEPSCADEVICE @JasonWinterECG @PMcardioApp
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EKG obtained ~ 10 min after conversion with amiodarone (Pt was prescribed amio but was recently non-compliant).
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Owen Wood retweeted
72 y/o smoker man with palpitations Digitalized by @PMcardioApp #ecg #ekg #cardiology #CardioEd #CardioTwitter #MedTwitter #foamed #cardiologist
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A middle aged woman with crushing chest pain. What`s your take? 50 mm/s 🚦 @lila_enis
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😱😱 missing this is one thing … calling it a STEMI is another. 40F with CP Off to resus and accepted for PPCI. Hmmmm.
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Owen Wood retweeted
67 yo male, no heart disease history. During rhinoplasty patient suffered hypotension and was treated by anesthesiologist with epinephrine bolus, then this happened... Would you actívate cathlab? What could be happening? #EkgChallenge
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70 YO M, 8/10 chest pain radiating down L arm unresolved by rest and NTG, Hx of 90% LAD #OMI about 2 yrs ago. #EMS #EKG 1 at 1640. What do you see? #ECG #Paramedic #Cardiology
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Answer: CHB + RCA occlusion. Here’s a before and after visual.
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History of Dizziness. Monitor showed ventricular arrhythmias. Coronaries were normal. What is the diagnosis? What is the next step?
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Owen Wood retweeted
ICU #hemodynamics secrets: Right ventricular failure is an important cause of insufficient left ventricular preload. In this case, a "fluid bolus" is almost never the right answer #foamed #foamcc #meded #medtwitter
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Supraventricular tachycardia😍
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Easy, but important case to quickly improve on new #ECG patterns! 57-year-old male makes an early morning call to EMS for chest pain lasting 30 minutes and radiating to the arm. History of prior PCI. Diagnosis?
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70 yo woman with palpitations; 2 Holter-strips; rhythm?
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The ever so sneaky ↑K+. Notice the Peaked T-waves are not classic “pointy” and the QRS is not wide. This is a great example of why clinicians should have a very low threshold to trial IV calcium in any unstable bradycardia.
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An ECG for residents. 80 yo woman with intermittent palpitations; what do you see? Easy one!
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