You suspect a cardiac cause of your patients chest pain as he is sweaty, short of breath, and has a history of cardiac stents. You obtain the following EKG:

What are the top TWO most common reasons for FALSE positive STEMI interpretation by the computer and provider?

You are called to a code 3 medical where you arrive to find a 75year old male who is apneic and pulseless. High quality compressions are started immediately. The engineer grabs the mechanical compression device (Lucas device) from the engine. Which of the following is TRUE regarding the mechanical compression device?

You arrive on scene to find a 25 year old woman who is 8 months pregnant holding a newly born child in her arms. You evaluate both her and the child and find that she is having brisk bright red vaginal bleeding and the placenta is still inside the uterus. What is your first step in management of her post-partum bleeding?

You arrive to find a young child seizing. He is approximately 4 years old and weighs 20 kg. He has been seizing for 15 minutes. In addition to scene safety and administering oxygen, which is the preferred dose of medication to administer?

#1 – 2.3.2021 – Altered Child

What’s your approach to treating the combative patient?

Instructors

Eli Carrillo, M.D.
Stanford Emergency Medicine

Delivery in the Field.

Instructors

Eli Carrillo, M.D.
Stanford Emergency Medicine

Case Presentation:

A 23 year old woman calls 911 for abdominal pain.  She is pregnant and her due date is tomorrow. This is her fourth pregnancy and she has had three prior vaginal deliveries.  This pregnancy has been uncomplicated. She has not had any vaginal bleeding or leakage of fluid and she can feel fetal movement.  She began having contractions 1 hour ago, but things became “intense” about 30 minutes ago, so she called 911.

Instructors

Eli Carrillo, M.D.
Stanford Emergency Medicine

Case Presentation:

A 32 year old woman calls 911 for heavy vaginal bleeding.  She reports that she had a normal vaginal delivery 2 days ago.  Her delivery was reportedly uncomplicated. She says that she had an infection during labor called chorioamnionitis.  Since delivery, she had had bleeding like a heavy period. She was discharged from the hospital this morning. Starting about an hour ago, she began soaking through a pad in 15 minutes and passing clots.  She began to feel dizzy, so her partner called 911.

Instructors

Eli Carrillo, M.D.
Stanford Emergency Medicine

A review of what makes up the capacity evaluation.
NOTE: Some material specific to Santa Clara County.

Instructors

Eli Carrillo, M.D.
Stanford Emergency Medicine