Medical Director Montgomery County Hospital District EMS Conroe, Texas
We often start with a diagnosis and teach from there, but getting to the final diagnosis is often a process emergency providers struggle with. To filter from undifferentiated abdominal pain with unstable vitals to an organized differential is often quite challenging. We’re not going to spend time with nonemergent/chronic diagnoses, just the ones that are deadly when missed—that’s where we as emergency providers must begin. This session focuses on the can’t-miss/"killer" diagnoses associated with four of the most common EMS chief complaints: chest pain, abdominal pain, shortness of breath, and altered mental status.
List the five "serial killers" for chest pain and shortness of breath.
Describe classic ECG findings in a patient with pericardial effusion.
Understand the common clinical presentations associated with thoracic aortic dissection.
Know risk factors for pulmonary embolus and deep venous thrombosis.
Understand the seizure risks with tramadol use at therapeutic levels.