One of the easiest mistakes to make when learning shock is to associate it with hypotension. Low blood pressure certainly can occur in shock, but shock is not defined simply…
Understanding the Physiology Behind the Protocol One of the guiding philosophies at AGC Med is that clinicians should strive to understand why they perform an intervention rather than simply memorising…
For decades, pediatric resuscitation has taught us that when a child becomes bradycardic with poor perfusion and requires CPR, arrest-dose epinephrine is the natural next step. It’s a familiar reflex.…
The quiet survival mechanism EMS rarely talks about There is a point in EMS where experience can start to look like coldness. Not because the provider does not care. But…
There’s a version of the story we keep telling in healthcare. “The doctor saved the patient.” It’s neat.It’s structured.It fits into headlines and handovers. But if you’ve ever stood inside…
There’s a number we throw around in medicine. 0.8. We say it like it’s fixed. Predictable. Reliable. But it isn’t. That number… is a compromise. And unless you understand why…
The Two Problems That Look the Same — But Aren’t There is a moment in clinical medicine that almost every provider recognizes. The patient is struggling to breathe. Their chest…
There is a moment most of us recognise, although we rarely say it out loud. You place a patient on high-flow nasal cannula.The respiratory rate slows.The anxiety softens.The oxygen saturation…
Every January, healthcare is flooded with the same tired language: be better, do more, push harder. But for those of us working in emergency departments, ICUs, ambulances, and wards that…
Introduction Shock-refractory ventricular fibrillation (VF) and pulseless ventricular tachycardia (pVT) remain among the most difficult cardiac arrest rhythms to manage. Even with rapid defibrillation and high-quality CPR, some patients simply…