Entries by WMN Editors

A 40-something fit athlete has a heart attack

Well there it was; blunt news of a friend’s near death. Malcolm Daly (pronounced “daily”), president of the climbing gear company Great Trango Holdings, Inc. and a well-known figure in the US climbing community, had suffered a serious heart attack while ice climbing in Colorado. The email was brief but ended with a typically upbeat […]

NEUROLOGY II

The previous edition of the WMN gave a detailed review of neuroanatomy, neurophysiology, brain mapping by neuronal activity, neurologic deficits, and the neurological exam. This edition will explore and review the various etiologies of changes in levels of consciousness (LOC), their recognition, emergent treatment, and management in the extended care environment. May/June 2004   ISSN-1059-6518   […]

Change in Level of Consciousness

When an individual presents with a changing or deteriorating level of consciousness, it can be one of the most disconcerting and challenging aspects of providing emergency care. In urban emergency care, the standard is to maintain the airway, place the patient in a safe position, give oxygen, transport immediately, and do your best to try […]