Rogue Medic

Why do people deny they are having heart attacks? NSFW language in video

  Why is this NSFW (Not Safe For Work)? Because some of the language in the video is not appropriate for some workplaces. Why have Keven Smith talk about a heart attack? Because we generally do not get an opportunity to have the patient explain what they were thinking while they were having the heart …

Why do people deny they are having heart attacks? NSFW language in video Read More »

Cardiac arrest victim Trudy Jones ‘given placebo’ – rather than experimental epinephrine

  As part of a study to find out if epinephrine (adrenaline in Commonwealth countries) is safe to use in cardiac arrest, a patient was treated with a placebo, rather than the inadequately tested drug. Some people are upset that the patient did not receive the drug they know nothing about.[1] The critics are trying …

Cardiac arrest victim Trudy Jones ‘given placebo’ – rather than experimental epinephrine Read More »

Prehospital cooling to improve successful targeted temperature management after cardiac arrest: A randomized controlled trial

  Also to be posted on ResearchBlogging.org when they relaunch the site. This is a nice study, which unfortunately ran into problems with enrollment and funding. There are some things that I think should have been done differently. The doses of chilled IV (IntraVenous) fluid were not weight-based, while the fluid in the human body …

Prehospital cooling to improve successful targeted temperature management after cardiac arrest: A randomized controlled trial Read More »

Honoring a Do Not Resuscitate tattoo in an unconscious patient

Also to be posted on ResearchBlogging.org when they relaunch the site.   The DNR (Do Not Resuscitate) tattoo is the kind of problem that leads doctors, nurses, and EMS to pretend to be lawyers, lawyers to pretend to be ethical, and patients to be treated against their wishes. EMS transports a patient to the emergency …

Honoring a Do Not Resuscitate tattoo in an unconscious patient Read More »

Does the parachute study prove that research doesn’t matter? Part II

  I have finally written Part II. Part III will be next week In the comments to Does the parachute study prove that research doesn’t matter? Part I is the following from Kevin –   The parachute study is meant to address persons who regard only level 1 evidence as evidence. It does not mean …

Does the parachute study prove that research doesn’t matter? Part II Read More »

Is placebo better than aggressive medical treatment for patients NOT having a heart attack?

Also to be posted on ResearchBlogging.org when they relaunch the site.   Is cardiac catheterization placebo better than aggressive medical treatment for patients not having a heart attack? No.   The answer is not really different from before. This should not be surprising for anyone who pays attention to EBM (Evidence-Based Medicine). We should all …

Is placebo better than aggressive medical treatment for patients NOT having a heart attack? Read More »

If your Versed (midazolam) isn’t working, maybe it’s Zofran (ondansetron)

  If you were giving a lot more midazolam (Versed) by intramuscular injection to stop a seizure and the seizure just would not stop, or got worse, maybe you were giving ondansetron (Zofran). If you were giving a lot more midazolam by injection to sedate a patient and the sedation just wasn’t having its usual …

If your Versed (midazolam) isn’t working, maybe it’s Zofran (ondansetron) Read More »

Comment on Irresponsibility and Intubation – The EMS Standard Of Care

  I wrote about the petition to protect paramedic incompetence in Irresponsibility and Intubation – The EMS Standard Of Care Nathan Boone responded with the following comment –   You’re forgetting about the rural medic out there.   No. I am not. Are you suggesting that bad airway management for a longer period of time …

Comment on Irresponsibility and Intubation – The EMS Standard Of Care Read More »