Paramedicine Now

VBG of the week 14 May 25

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MAY 11, 2025

The following patient was found collapsed outside a warehouse. What is his diagnosis and management? ph 7.

ECG of the week 14/5/2025

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MAY 13, 2025

A 33yr old male presents with exertional chest pain, his ECG is below: What is the specific finding and concern … Continue reading →

EMS

ECG of the week 30/4/25 “Doc is my pacemaker pacing properly?

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APRIL 29, 2025

This week we have a series of 3 ECGs from separate patients. These patients all had the same question. “Doc is my pacemaker pacing properly?

EMS

ECG of the week 23/4/25

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APRIL 20, 2025

The following 66yr old man went to the GP for a health check up, the GP found him to be bradycardic and referred him to ED.

ED

ED EMS

ECG of the week Tox Roadshow 9/4/25

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APRIL 8, 2025

This weeks ECG is from a 50yr old patient who has taken a large polypharmacy OD. Your team is working on gaining collateral to establish what has been taken.

ECG of the week 19/3/25

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MARCH 18, 2025

The following ECG is from a 40yr old male patient: What is your diagnosis and management of this patient?

ECG of the week 29/1/2025

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JANUARY 28, 2025

An 86yr male presents with syncope and melena. Hb 76. His ECG is below: What is the Rythm? What is you management plan for this patient?

EMS

ECG of the Week 22nd January

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JANUARY 21, 2025

The following ECG is from a young male who has presented with intermittent palpitations. He has no significant medical history.

ECG of the Week – 15th January

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JANUARY 14, 2025

The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.

Lab case 455

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JANUARY 7, 2025

80 year old man presented with shortness of breath. This patient had history of CHF and COPD. His venous blood gases showed the following PH = 7.

Lab case 454 interpretation

EMergucate

DECEMBER 29, 2024

PH = 7.39, that is within the normal range. pCO2 = 30 mmHg, that is slightly low. This patient might have respiratory alkalosis. Next, we should look at the compensation for respiratory acidosis.

Imaging Case of the Week 613

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DECEMBER 22, 2024

The following knee x-rays are from an adult who has knee pain & swelling after a twisting injury to the … Continue reading →

EMS

ECG of the week 18/12/24

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DECEMBER 17, 2024

This week our case involves complications around elective cardioversion.

EMS

Imaging Case of the Week 612

EMergucate

DECEMBER 15, 2024

The following elbow x-ray is from an adolescent who has pain & swelling in the elbow after a fall on outstretched hand. What can be seen?

EMS

ECG 11/12/2024

EMergucate

DECEMBER 10, 2024

A 23yr presents following a syncope, he denies chest pain. The following ECG is taken: What does this ECG demonstrate?

EMS

Lab case 453 interpretation

EMergucate

DECEMBER 10, 2024

PH = 6.782, that is severe acidaemia. HCO3 = 2.5 mmol/L, that is extremely low. So we have metabolic acidosis.

Lab case 454

EMergucate

DECEMBER 10, 2024

2-year-old boy brought to ED by ambulance as category 1 for severe croup. His blood gases showed the following.

Ambulance

Ambulance ED

Imaging Case of the Week 611

EMergucate

DECEMBER 3, 2024

The x-ray is from a toddler with fever and abdominal pain. What can be seen? Answer will be posted later.

EMS

ECG of the week 27th November

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NOVEMBER 26, 2024

The following ECG is from a 62-year-old man who presented following an MVA.

Lab case 452 interpretation

EMergucate

NOVEMBER 25, 2024

Question 1: PH = 7.30, that is mild acidaemia. HCO3 = 18, that is low (less than 24), So we have metabolic acidosis.

Lab case 453

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NOVEMBER 25, 2024

72 year-year-old man with history of type II DM and has a single kidney. Presented with 2 weeks of diarrhoea. He has been in bed for 2 weeks. Unresponsive. Last proper meal was 2 weeks ago.

Imaging Case of the Week 607 Answer

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NOVEMBER 24, 2024

There is a sliver of air under the right hemi-diaphragm.

EMS

Imaging Case of the Week 608 Answer

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NOVEMBER 24, 2024

The chest x-ray reveals sail sign.

EMS

Imaging Case of the Week 609 Answer

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NOVEMBER 24, 2024

The lateral view of ankle demonstrates an avulsion fracture above the posterior calcaneus.

EMS

Imaging Case of the Week 610 Answer

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NOVEMBER 24, 2024

The supine chest x-ray shows left sided deep sulcus sign (lucency diving deep into left upper quadrant) indicative of a … Continue reading →

EMS

Imaging Case of the Week 610

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NOVEMBER 19, 2024

The chest x-ray is from an adult with chest pain post MVA. What can be seen?

EMS

ECG of the Week 20 Nov 24

EMergucate

NOVEMBER 17, 2024

A 60yr old female presents to ED with 3hrs of pleuritic chest pain radiating to the back associated with diaphoresis.

ED

ED EMS

Imaging Case of the Week 609

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NOVEMBER 12, 2024

The ankle images are from a patient who has sustained a twisting injury to their ankle. What can be seen?

EMS

ECG of the week 13th Nov 24

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NOVEMBER 10, 2024

This week our patient is a 34yr old gentleman who presents to the ED with a 1 week history of chest pain and palpitations, his initial ECG is: His potassium and magnesium are borderline low so you …

ED

Imaging Case of the Week 608

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OCTOBER 29, 2024

The following chest x-ray is from an elderly patient with cough & dyspnoea.

EMS

Lab case 452

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OCTOBER 29, 2024

17-year-old boy with wrist fracture. This patient became blue during manipulation of the fracture under bier’s block anaesthetic effect.

Lab case 451 interpretation

EMergucate

OCTOBER 28, 2024

This VBG was from a young girl with sever gastroenteritis (Vomiting and diarrhoea) for 3 days. PH = 7.52, that is moderate alkalaemia. pCO2 = 21 mmHg. So, we have respiratory alkalosis.

ECG of the Week 30 Oct 24

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OCTOBER 27, 2024

Today’s ECG is a 45yr male who presents to ED with a 12hr history of epigastric pain and diaphoresis. He is an ex smoker, no other cardiac risk factors.

ED

ED EMS

Imaging Case of the Week 607

EMergucate

OCTOBER 20, 2024

This chest x-ray is from a 23-year-old with right shoulder tip pain. What can be seen?

EMS

Imaging Case of the Week 606 Answer

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OCTOBER 15, 2024

The chest x-ray shows streaky lucency outlining the great vessels of the neck (tubular artery sign) & air in the … Continue reading →

EMS

ECG of the Week – 16th October 2024

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OCTOBER 15, 2024

The following ECG is from a 19-year-old female who has presented following a syncopal episode.

Imaging case of the week – 16th October 2024

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OCTOBER 15, 2024

The following axial CT is from a 60-year-old lady who has had a witnessed collapse. Provide your interpretation and diagnosis.

Lab case 451

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OCTOBER 15, 2024

Interpret these blood gas results PH = 7.

Imaging Case of the Week 603 Answer

EMergucate

OCTOBER 15, 2024

The abdominal x-ray shows Gall stone ileus. There are prominent central bowel loops with pneumobilia.

EMS

Imaging Case of the Week 604 Answer

EMergucate

OCTOBER 15, 2024

The chest x-ray shows hyperexpanded & lucent right lung field. There is no radio-opaque foreign body seen.

EMS

ECG 16 October

EMergucate

OCTOBER 15, 2024

An 80yr male presents with 2 weeks increasing shortness of breath, he has a history of CABG. What can be seen on the ECG: If these were new findings what might you be concerned about?

EMS

Imaging Case of the Week 605 Answer

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OCTOBER 15, 2024

The left thigh x-ray shows fracture of proximal femur with massive callus formation.

EMS

Imaging Case of the Week 606

EMergucate

OCTOBER 8, 2024

The following chest x-ray is from a patient with chest pain. What can be noticed? Answer will be posted later.

EMS

ECG of the Week 9 Oct 24

EMergucate

OCTOBER 7, 2024

An 8yr old female presents with heart palpitations, she is hemodynamically stable and talking to you.

EMS

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VBG of the week 14 May 25

ECG of the week 14/5/2025

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