Dr. Smith's ECG Blog

FEBRUARY 10, 2025

Written by Jesse McLaren An 80 year old patient with diabetes/hypertension/ cirrhosis had a recent increase in candesartan for their hypertension, and was also on spirolactone and nadolol. They presented to a hospital clinic for routine paracentesis, after which they developed nausea and syncope attributed to a vasovagal episode from the procedure. Labs showed a non-hemolyzed potassium of 6.2, normal glucose, and mild acute on chronic renal failure (Creatinine from 140 to 170 umol/L), and the fo

ALS

Life in the Fastlane

FEBRUARY 10, 2025

James Pearlman Metaraminol Metaraminol is a useful, easily titratable sympathomimetic vasopressor that acts both directly and indirectly on alpha-1 adrenoreceptors.

Stem EMS

FEBRUARY 10, 2025

Discover ambulance history from medieval times to modern services. Explore key milestones in British and American ambulance evolution L'articolo Ambulance History: A Journey Between England and America proviene da Stem Ems.

Ambulance

California Casualty

FEBRUARY 10, 2025

Is your lease nearing its end, and you’re wondering whether to say goodbye or keep the keys? Buying out your leased vehicle can be a smart financial move—or a costly mistake—depending on your situation. With used car prices fluctuating and interest rates shifting, now is the time to weigh your options carefully.

OR

Stem EMS

FEBRUARY 10, 2025

Discover ambulance history from medieval times to modern services. Explore key milestones in British and American ambulance evolution L'articolo Ambulance History: A Journey Between England and America proviene da Stem Ems.

Ambulance

FirstWatch

FEBRUARY 10, 2025

How this busy agency supports its neighbors and keeps up with demand with FirstWatch The real advantage of FirstWatch, Says Michele Godina Machado, Administrative Analyst II at Stockton (Calif.) Fire Department , is that I know the numbers are right. We say in this business that if its garbage in, then its garbage out. FirstWatch allows us to verify the accuracy of our data.

CAD

Stem EMS

FEBRUARY 10, 2025

Discover ambulance history from medieval times to modern services. Explore key milestones in British and American ambulance evolution L'articolo Ambulance History: A Journey Between England and America proviene da Stem Ems.

Ambulance

FirstWatch

FEBRUARY 10, 2025

Serving the People Behind the Data How do we add value to our community? That has been stuck in my head as a huge and fundamental question, says Mary E. Meeks, the 2024 Jack Stout EMS Fellow. As district chief at Chatham Emergency Services (CES), headquartered in Savannah, Ga., she saw the relevance of this question daily in her work. What do we as an EMS agency do to add value to the community of Savannah?

EMS

NVFC

FEBRUARY 10, 2025

Three STEPR PRO+ stair climbers will be awarded to volunteer fire departments Responding to emergencies is a physically demanding job, and fitness and health are essential for volunteer firefighters, EMS providers, and rescue personnel to perform at their best. To support these dedicated first responders, STEPR has partnered with the National Volunteer Fire Council (NVFC) to give away three STEPR PRO+ stair climbers in 2025 through the STEPR Health & Safety Giveaway.

First Responder

Don't Forget the Bubbles

FEBRUARY 10, 2025

A new path to explore What is the problem? Survival rates for babies born very pretermbefore 32 weeks of gestationhave improved significantly in recent decades. However, this progress also means that more babies are surviving with serious complications related to preterm birth. In the United Kingdom, neonatal care is routinely funded until babies reach 44 weeks corrected gestational age (CGA).

Critical Care