Syncope and sudden death in student athletes Part 2 – EMS 12-Lead podcast Episode #2

EMS 12-Lead podcast – Episode #2 – Syncope and sudden death in student athletes Part 2

In this episode Tom Bouthillet and David Baumrind are joined by Trudie Lobban of STARS (Syncope Trust And Reflex anoxic Seizures) — a not-for-profit organization that works together with individuals, families and medical professionals to offer support and information about unexplained loss of consciousness (syncope).

Trudie Lobban
Photo credit:

To learn more about STARS see the following links:

Syncope Trust And Reflex anoxic Seizures (STARS) – International 

Syncope Trust And Reflex anoxic Seizures (STARS) – U.S.

Syncope Trust And Reflex anoxic Seizures (STARS) – International on Facebook

Syncope Trust And Reflex anoxic Seizures (STARS) – U.S. on Facebook

Related content:

EMS 12-Lead podast – Episode #1 – Syncope and sudden death in student athletes Part 1


  • VinceD says:

    Good discussion, but personally I'm still not on board for the use of general ECG screenings in patients without risk factors.
    A big question I have is just who will be reading the millions of ECGs that are performed across the country, as there most certainly are not enough electrophysiologists around and even pediatric cardiologists have been shown to have insufficient accuracy in this limited study ( I can't imagine an adult cardiologist, emergency physician, or general practitioner looking to make some income on the side would fare better. Plus, the responsibility of shifting through at least a few hundred ECGs beloning to local pediatric athletes (two independent groups with difficult ECGs to interpret, let alone combined) to find the one with a fatal predisposition for cardiac arrest doesn't sound all that appealing to me, knowing that when one inevitably dies the hindsight of an expert witness will be judging whether you were respoonsible for missing what are often subtle and subjective signs.
    It's a topic where it is easy for emotion and headlines to affect decision making, but when a policy will be affecting millions of people and costing even more millions of dollars, rationality should really be the guiding force.

  • I've wondered if there is a role for "Web 2.0" (as a software engineer I die a little inside when I hear/use buzzwords like that) in a problem like this. Why not crowdsource (there it is again) the reading of the 12-Leads?

    Identify a pool of experienced electrocardiographers, probably through an online test with annual competencies, and have them evaluate some random subset of 12-Leads. If some threshold is met have a notification sent to the personnal physician of the patient to take a closer look at the ECG or request referral/follow-up.

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation
Brooks Walsh MD
“Bad heartburn” – 82 y.o. female without chest pain.
Chris - two thoughts. First, what's the best data on sens/spec for STEMI in the lp-15? Second, welcome to the >= 30 club!
2014-08-21 15:29:26
“Bad heartburn” – 82 y.o. female without chest pain.
I'm shocked the computer missed this one! Pretty clean baseline, easy to find J-points...I think the incorrect QRSd tripped it up. Should send this to PhysioControl, especially if this is from an LP15. I'm sure the Glasgow folks would love to get their hands on the data for this tracing.
2014-08-21 14:36:24
“Bad heartburn” – 82 y.o. female without chest pain.
oh I forgot one more thing, where are the P waves ?? hard to see on this phone but is it junctional or a block ?? If it's a heart block then there is more evidence of ischaemia to the Node. ...... which is isn't good.....
2014-08-21 12:59:09
“Bad heartburn” – 82 y.o. female without chest pain.
Good treatment by all. Well done Jessica for being the first. .... I would use morphine instead of fentanyl due to BP dump and future use of amiodarone but very small doses 1-2 mg. Two good reasons two steer clear of GTN 1. Inferior AMI 2. HR 40. Both Will reposition the Pt on the…
2014-08-21 12:29:43
“Bad heartburn” – 82 y.o. female without chest pain.
I'm on board with most of the convents so far. No need to elaborate. I would add maybe a dissection into the aortic root causing RCA occlusion. Not going to know without imaging. Call cath from the field regardless.
2014-08-21 07:41:17

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