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Nor-Cal EMS Medical Advisory Committee Run Review August 2017

A Nor-Cal EMS Webcast Continuing Education Series
Two Continuing Education Units* available to California EMS personnel for watching this video

"Nor-Cal EMS Medical Advisory Committee Run Review August 2017"

This webcast is presented by Dr. Eric Rudnick, MD, FACEP, FAAEM, Medical Director for Nor-Cal EMS and recorded live in front of an audience during the patient care record run review at the monthly Medical Advisory Committee meeting. The purpose of this webcast is to perform patient care record run reviews for continuous quality improvement to aid and train emergency medical personnel.

Two case studies are presented in this run review:

  • HPI: Patient was last scene normal at 2100 hours the night before going to bed. Roommate heard a noise from the patient's room and found the patient on the floor next to the bed. Patient was unresponsive with rapid breathing. What are the potential diagnoses at this point? What history do you want? What diagnostic interventions do you want to perform and why? Physical exam at 0412. Head is atraumatic and normocephalic. Neurologic exam: Pupils are equal in size at 4mm but sluggish to react. Doll's eyes not tested response. GCS is 3. There is no posturing. Patient does not make any purposeful movement. Babinski sign not tested for.
  • Dispatched to residence for abdominal pain in a 17 year old femail. What is the differential diagnosis at this point? Dispatched 1822. En route 1824. On scene 1842. Patient contact 1843. Left scene 1846. Time on scene 4 minutes. Time to destination 47 minutes. Primary impression: abdominal pain. Narrative: At 1843 made contact with a 17 year old female. The patient was transported to hospital "x". Found patient seated with her mother with complaints of abdominal pain. This was after a MVA. Onset of symptoms 1812. "So this was approximately 1/2 hour earlier." Patient was wearing a lap and shoulder restraint. Front passenger of a slow 15 to 20 mph "side swipe" with no LOC.

Click HERE to download a printout of the PowerPoint presentation for reference.

This webcast is especially provided as a courtesy to help Paramedic professionals obtain their necessary run review continuing education credits in the State of California. It is available for 1 Continuing Education Unit in the State of California for Emergency Medical Services personnel such as First Responders (FRs), Emergency Medical Responders (EMRs), Emergency Medical Technicians (EMTs), Paramedics, and Mobile Intensive Care Nurses (MICNs) at:

https://secure.norcalems.org/webinars_and_tests/webinar-view.aspx?w=34

A certificate will be printed upon successful completion of the above course.

Background: Dr. Rudnick is a native New Yorker and moved to Northern California in 1993 after completing his medical training. He enjoys hiking, nature photography, and spending time with his family. He attended the Medical College of Wisconsin, and graduated from the Emergency Medicine Residency Program at Michigan State University with an award for Outstanding Clinical Excellence. His clinical practice has ranged from Level II Trauma Centers to small rural Emergency Departments. He is currently the Medical Director for Northern California EMS and Santa Clara County EMS agencies. He is actively involved with the Emergency Medical Directors Association of California and holds a position on the California State Commission on EMS. His areas of interest clinically are pediatric emergency medicine and emergency medical services. He graduated from the highly regarded California Healthcare Foundation fellowship program in Healthcare Leadership. He is married to Deborah Sutcliffe, M.D. a Family Medicine physician and has two teenage daughters.

Need Continuing Education Units?

If you are a First Responder (FR), Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Paramedic, or Mobile Intensive Care Nurse (MICN) and need continuing education units, you may view this video and take a test to obtain 2 CEs. Click the button below (before or after watching the video) to obtain your continuing education credit.

If you are already viewing this webcast for CE credit, click the above button when finished to go back to the webcast details to take the test and receive your CE certificate.

More Webcasts Available for CEs

Other webcasts are available for continuing education units for California First Responders, Emergency Medical Responders (EMRs), Emergency Medical Technicians (EMTs), Paramedics, and Mobile Intensive Care Nurses (MICNs) at:

http://www.norcalems.org/webcasts (general listing)

or

http://secure.norcalems.org/webinars_and_tests (searchable list, sign-in required)

Produced and Directed by Engineer Bill Bogenreif


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