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 Forum Index > General > Case Presentations
 
Topic Subject
 		 Views
 		 Replies
 		 Last Post
 
Sticky Topic
How To Present Your CaseStarted by:Mike MacKinnon, Jan/22/06 06:43 PM
OK ** Please Submit all cases with Pics
directly to me @ mmackinnon123@gmail.com
** e I will pick th best and post them
in succession CASE STUD		  
1267 0
By: Mike MacKinnon
Jan/22/06 06:43 PM
Sticky Topic
About This ForumStarted by:Mike MacKinnon, Jan/22/06 06:29 PM
Hello Everyone. I approched Rollie
about creating a forum in which we could
post interesting cases we have had. It
seems this is a great chance for all of
us to learn for each other. So
essentially, if you have a case that you
bel		  
1118 0
By: Mike MacKinnon
Jan/22/06 06:29 PM
Normal Topic
Case #28: Freak Accident - Bad outcomesStarted by:Mike MacKinnon, Jun/30/07 10:28 AM
[b]1) The Story.[/b] You are kicked
out mid afternoon for a 'car accident'
single passenger rollover. En route
dispatch informs you that the ground
crews say this pt may need RSI. On
circling the scene you do not see the
car on the freeway. EMS informs 		Page:  1 2 3 
9957 89
By: Mike MacKinnon
Jul/09/07 07:12 PM
Normal Topic
Case # 10 - Paediatric Dehydration?Started by:Mike MacKinnon, May/30/06 11:56 PM
1) The Story. A 4-week old girl of
Vietnamese decent (born in USA)
presented to the small rural family
doctors office with cyanosis, pallor and
a 5-day history of diarrhea, decreased
PO intake and dehydration. Her initial
 Page:  1 2 
5579 57
By: Jason P
Jun/19/07 10:30 AM
Normal Topic
OverdoseStarted by:ironjohn929, Jun/18/07 02:43 PM
You find a middle aged female pt who is
unconcious, breathing slowly, responds
only to pain and has a history of eating
2 bags of grapfruit, No other
information is known. What did she
o/d on? 		 
1016 9
By: JeffBro
Jun/19/07 03:32 AM
Normal Topic
Case #27 Down on the farmStarted by:Mike MacKinnon, May/30/07 02:46 PM
1) The Story. Its noon and you are
kicked out on a call which you know will
take over 1 hour flight time just to get
to. The call is for a 41 y/o farmer who
fell off his combine and got caught in
one of the blades in the front. Ground
EMS wont		 Page:  1 2 
5598 62
By: VAFltMdc
Jun/03/07 11:54 PM
Normal Topic
Air Medical Journal Case ReviewStarted by:Mike MacKinnon, Jun/01/07 07:51 PM
Hey all! As many of you know the AMJ
has been doing a Case Review every
couple of issues. As of the next AMJ I
will be co-editing it with both Dr David
Ross and Carol Wichman BSN,MSN. So,
next case study (and the on		  
817 2
By: Brian B.
Jun/01/07 10:02 PM
Normal Topic
bizarre brunch bashStarted by:cumedic, May/07/07 11:12 PM
Scene: It's noon on a very rainy day and
you're toned out for a single car MVC at
a local supermarket. You're working
with a paramedic partner and fire
department staffed with extrication gear
is en route as well. The car is at the
base of a steep 		 
2593 24
By: ajhall0628
May/13/07 12:09 AM
Normal Topic
Case #26 Uh Oh.... Homeboy dropoff?Started by:Mike MacKinnon, Apr/30/07 05:45 PM
1) The Story. Its 2 am and you hear a
loud banging on your base door. A bloody
middle aged male collapses in front of
you and is now laying on his side. There
is bright red blood all over his jacket
and t-shirt. 2		 Page:  1 2 3 4 
13498 121
By: Mike MacKinnon
May/10/07 12:05 AM
Normal Topic
Another typical Febrile seizure?Started by:SSIMEDIC, Apr/09/07 11:22 AM
Got called to a house for seizure, when
we arrived FD paramedic walking out of
house with young girl in arms. (Well
respected FF medic in area). Intial
presentation was that of typical
postical seizure patient. Pt was 3 y/o
female. HR 140, pale CRT =4, RR		  
1772 18
By: SSIMEDIC
Apr/12/07 12:21 AM
Normal Topic
Case #25 Emergent transfer from the EDStarted by:Mike MacKinnon, Mar/30/07 03:50 PM
This is a case sent in by a FW member.
Thanks! 1) The Story. You are kicked
out for a 70 yo male, profound
bradycardia with gcs 12 and significant
hypotension coming to ED. You are
located in house at a small local
hospital		 Page:  1 2 
6277 66
By: allison
Apr/07/07 07:03 AM
Normal Topic
Case #24 Confused 65 year old WWII veteranStarted by:Mike MacKinnon, Mar/01/07 10:28 PM
1) The Story. Its 4 am and you are
kicked out for a 65 year old WWII
veteran who presented to a small town
hospital "ER" with acute mental status
change. The ER is run by a family doctor
You arrive at the small facility on		 Page:  1 2 
5416 67
By: lems1169
Mar/08/07 04:35 PM
Normal Topic
Case #23 Epigastric Pain.....Started by:Mike MacKinnon, Jan/30/07 08:37 PM
1) The Story. Its 5 pm and you are
kicked out for a A 71 yo F with multiple
medical problems complaining of
approximately 24 hours of sharp
epigastric and chest pain. The pain had
begun abruptly in her epigastrium and
chest and since ex		 Page:  1 2 
6490 78
By: Mike MacKinnon
Feb/09/07 06:16 PM
Normal Topic
Case #22 - Tingling Toes!Started by:Mike MacKinnon, Nov/30/06 11:12 PM
1) The Story. Its 3 pm and you are
kicked out for a 55 y/o male in a very
rural community who was complaining of
his "toes tingling". EMS consists of a
volunteer BLS crew wearing overalls.
They called you as they are 1.5 hours by
ground		 Page:  1 2 
6167 62
By: rnmedic1839
Dec/07/06 05:56 PM
Normal Topic
Case #21 - Seizures?Started by:Mike MacKinnon, Nov/15/06 11:25 PM
1) The Story. ** This case is more
about investigation ** Its 11 pm and
you are kicked out for a 23 y/o female
who was found on her dorm room floor
"seizing" by friends. She was “drenched
in sweat” with headache, not knowin		 Page:  1 2 
5239 50
By: Mike MacKinnon
Nov/24/06 10:21 AM
Normal Topic
Case #20 - Trapped TraumaStarted by:Mike MacKinnon, Oct/30/06 02:10 PM
1) The Story. Its 5 pm and you are
kicked out for a 37 y/o male who's
vehicle was struck by a large transport
truck head on while driving on a highway
@ ROS = 75 mph. The pt was driving a
ford ranger. You are the first ALS 		Page:  1 2 3 
8853 87
By: traumaRN
Nov/14/06 09:57 PM
Normal Topic
CASE # 19 - 90% burns are bad.Started by:Mike MacKinnon, Oct/15/06 06:06 PM
1) The Story. Its 3 am and you are
kicked out for a 30 y/o male who has 90%
3rd degree burns from a house fire in
Mexico. He was taken to the border by
the mexican ambulance and they called
911. You meet the US ambulance wh		 Page:  1 2 3 
9397 96
By: mom1rn2
Oct/24/06 05:17 PM
Normal Topic
Need help with a puzzling caseStarted by:jbflightnurse, Jun/26/06 10:30 AM
Hey Mike and all... I need some input on
a very interesting case. Really puzzled
by this one. 8yo/25 kg/male. No
previous medical hx. Allergy- rash when
given Amoxicillian. pt was camping with
his parents, playing, fishing, having a
normal weekend. Stop		  
3568 37
By: cdnflightmedix
Oct/20/06 03:35 AM
Normal Topic
Case #15 Paedatric Respiratory Arrest.Started by:Mike MacKinnon, Aug/16/06 12:34 AM
1) The Story. You are called to a rural
highway to meet an ambo which is
en-route to an ER another 55 minutes
away by ground. The report you get on
launch is paedatric resp. arrest. On
arrival you meet a very upset ambo cre		  
3990 35
By: MSDeltaFlt
Oct/18/06 10:18 PM
Normal Topic
Case #18 The Late Night Overdose!Started by:Mike MacKinnon, Sep/30/06 09:15 PM
1) The Story. Its 2 am and you are
kicked out for a 60 y/o male who has
apparently taken 30 5 mg valium pills
over 48 hours On arrival you find the
pt sitting up in the back of the ambo
A&O to person and place. He appe		 Page:  1 2 3 
7609 83
By: Mike MacKinnon
Oct/09/06 02:07 PM
Normal Topic
Case #17 BrrrrrrrStarted by:Mike MacKinnon, Sep/15/06 10:34 PM
1) The Story You are called to
transfer a patient from a remote rural
hospital to a University facility.
Dispatch informs you that this patient
was picked up from the ground EMS crew
and brought into the hospital in a
hypothermic state		 Page:  1 2 
5558 53
By: macgyver
Sep/22/06 02:44 PM
Normal Topic
CASE # 16 - Paediatric ConfusionStarted by:Mike MacKinnon, Aug/31/06 12:26 AM
Well, this one was mine
unfortunately. This case is less about
the transport issues (really wasent
many) and more the process of
investigative differentials. 1) The
Story. You are called to a local ER to
transp		  
3681 30
By: WBS/CCP
Sep/12/06 08:54 PM
Normal Topic
succinylcholineStarted by:swissmedic, Aug/17/06 02:22 PM
I was just wondering why Succinylcholine
is contraindicated in this case		  
1916 8
By: bjeffe02
Aug/22/06 09:10 PM
Normal Topic
Case #14 14 y/o attempted suicideStarted by:Mike MacKinnon, Jul/30/06 01:51 PM
1) The Story. You respond to a rural
clinc for a 14 yo female at about 2 pm.
She had attempted suicide in her home
and was found by her parents vomiting
and "not breathing well" they took her
to the local clinic just down the road.
The		 Page:  1 2 
4842 45
By: Mike MacKinnon
Aug/04/06 01:41 PM
Normal Topic
Case #13 Stabbed! InterfacilityStarted by:Mike MacKinnon, Jul/15/06 06:09 PM
1) The Story. You respond to a small
faclility for a 30 yo hispanic male at
about 4 am. Around 10 pm day before he
was stabbed in the left anterior chest
just to the left of the sternum at the
5-6th intercostal space. Brought in to
sam		 Page:  1 2 
5773 42
By: YoungMedic
Aug/03/06 12:03 PM
Normal Topic
Case #12 "I Don't Feel Right"Started by:Mike MacKinnon, Jun/30/06 11:50 PM
1) The Story. You respond to a call
about a 56 year old female who says she
"isnt feeling quite right" She
complains that the lights are bright,
heart is pounding and light headed. She
also states she gets a tingling sensat		  
2927 22
By: Mike MacKinnon
Jul/07/06 12:24 PM
Normal Topic
Case #11: I'm Dizzy and Short of breath!Started by:Mike MacKinnon, Jun/15/06 03:09 PM
1) The Story. You respond to a call
about a 56 year old male who is having
some shortness of breath and is dizzy
when he stands. On arrival the story
you get from EMS is: EMS was called to
the patients house. 		Page:  1 2 
18921 60
By: FLYTMED_RRT
Jul/01/06 08:05 PM
Normal Topic
Case #9: Trauma Gone WildStarted by:Mike MacKinnon, May/15/06 08:45 PM
1) The Story. You respond to a call
about a 27 year old male who flew off
his dirtbike without a helmet. The
accident was not witness and the man was
found by another biker laying on the
ground making "grunting sounds". On 		Page:  1 2 3 
16113 117
By: Mike MacKinnon
May/21/06 08:19 PM
Normal Topic
Case #8 When Snakes Attack!Started by:Mike MacKinnon, Apr/30/06 12:52 PM
1) The Story. You respond to a call
from a very small farming community for
a "snake bite" of a 13 year old boy. The
report through dispatch states the
dispatching unit is a state trooper and
he is non-medical. His assessment was
"this 		Page:  1 2 3 
14924 83
By: MDEMT-P
May/09/06 09:46 PM
Normal Topic
Case #7 The "Well Lit Scene"Started by:Mike MacKinnon, Apr/15/06 08:25 PM
1) The Story. You respond to a small
town clinic which is staffed by a mid
level provider. The call stated you were
responding to transport a newly
diagnosed hemophiliac. The patient is a
14 year old male who apparently came
into the cl		 Page:  1 2 
10346 67
By: Irishrn
Apr/30/06 11:22 AM
Normal Topic
Case #6 Why are you so sick?Started by:Mike MacKinnon, Mar/30/06 06:55 PM
1) The Story. You respond to a small
town for an altered 16 year old girl who
is 6 months pregnant. She is spanish
speaking only. Per bystanders this
patient has had a fever for a week and
has been nauseated and vomiting. Today
she "fel		 Page:  1 2 
6821 61
By: Mike MacKinnon
Apr/17/06 09:22 PM
Normal Topic
Case Study #5 Wow thats a high temp!Started by:Mike MacKinnon, Mar/15/06 10:05 AM
1) The Story. You are called to a rural
area where a 16 y/o girl has fallen
unconcious. Per parents she has not been
feeling well for the last week but
refused to goto the family physician.
Her mom found her in her room un		 Page:  1 2 
8670 66
By: dobbinhill
Mar/21/06 11:12 AM
Normal Topic
Case #4 A Knife in the Back is bad.Started by:Mike MacKinnon, Mar/02/06 04:21 PM
1) The Story. Pt was "minding his own
buisness" and somehow got stabbed in the
back. You arrive to find his laying on a
backboard face down with BLS all looking
at the knife scratching their heads as
to what to do. The knife is on the l		 Page:  1 2 
6946 79
By: Mike MacKinnon
Mar/08/06 06:34 PM
Normal Topic
Case #3 Paedatric EmergencyStarted by:Mike MacKinnon, Feb/15/06 09:45 PM
1) The Story. You are called by a rural
911 service to the backyard of a ranch
style house for a "paedatric emergency",
per dispatch. No further info was given.
You are aware that the local service has
ONE paramedic level provider for t		 Page:  1 2 3 
7863 85
By: Mike MacKinnon
Feb/21/06 09:11 PM
Normal Topic
Case #2 Ejection is a very bad thing.Started by:Mike MacKinnon, Feb/08/06 02:15 AM
1) The Story. Pt was driving on the
freeway at a ROS = 75 mph at 2 am. Pt
lost control of vehicle for unknown
reason. Car rolled multiple times and
was found by local highway partol who
requested you. Your ETA is 20 min and
ALS is ~50. 		Page:  1 2 
6844 72
By: Mike MacKinnon
Feb/13/06 05:04 PM
Normal Topic
Case #1 The suspicious MVAStarted by:Mike MacKinnon, Feb/02/06 02:58 PM
1) The Story. A 30 year old female is
picked up at the scene of a single car
accident with an isolated closed tibia
fracture. The patient was seat-belted
and has no other injuries though she
doesn’t remember the accident. There is
moder		 Page:  1 2 
7608 56
By: Mike MacKinnon
Feb/07/06 07:06 PM

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