Peter Canning is the Man! (was: Paramedics Get Special Cardiac Training)

Here’s a great story from WSFB-TV Channel 3 Eyewitness News (Hartford-New Haven) featuring our very own Peter Canning from the Street Watch: Notes of a Paramedic blog!

Watch as Peter calls in a “definite STEMI Alert” and activates the cath lab!

Click HERE for the best quality video without commercials.

Screen shots below.






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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Joe
Snapshot Case: What Happened?
Pt has some wicked bi-phasic T-waves s/p defibrillation...
2015-05-27 04:01:32
Greg
Snapshot Case: What Happened?
Unsynced cardioversion! I mirror the comments above wondering why this patient even required cardioversion for this afib as the rate doesn't seem particularly sinister. And after 4 shocks maybe consider that the afib might not respond at all and focus on other treatment avenues.
2015-05-27 02:56:05
Sam
Snapshot Case: What Happened?
The patient appears to have been unintentionally cardioverted during the relative refractory period, which can send the heart into v-fib. The first attempt looks to be 50J, under the 120J usually recommended for rapid a-fib, and did not work. Before the second attempt, it appears that there is no longer capture and the patient was…
2015-05-26 23:51:11
Wes Comstock
Snapshot Case: What Happened?
Great example of what happens if you dont sync prior to cardioversion, but I think it is also worth mentioning that its highly unlikely that this patients symptoms were rate related. In the top strip the rate was approx 114 over the 10 seconds and just prior to shock #5 the rate was right around…
2015-05-26 23:17:39
Justin White
Snapshot Case: What Happened?
After shock #4 they didn't sync the monitor again after it defaulted back to defib. They shocked on the T-wave.
2015-05-26 22:47:07

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