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: http://www.atrialfibrillation-us.org

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

2 Comments

  • 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 (http://www.ncbi.nlm.nih.gov/pubmed/21752393). 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

JEMS Talk: Google Hangout

Comments
Arlene R
The Trouble with Sinus Tachycardia
It has been very insightful for me as i read this post. Thanks to the may people who commented. Like many nurses, I was also taught to differentiate svt from st by rate and now I stand corrected. I have a Telemetry test coming up soon, I wont have the patient in front of me…
2014-11-20 19:59:33
Nick
100 yof CC: Rib pain and intermittent spasms
Can't be a potassium imbalance. The TW's wouldn't change and then change back. If it was coronary spasm, I would expect some ST segment elevation. The TW'S are also not hyperacute (peaked). Does she wear some sort of electronic stimulator?
2014-11-19 01:05:43
Anterior T wave inversions and PE. | EMS 12 Lead
Not just S1Q3T3: Look at the other 10 leads!
[…] Last week, I described the case of a middle-aged male with a vague history of heart failure who had been having progressive shortness of breath for 4-5 days. On the day he called 911, he had been walking a short distance when he syncoped. EMS obtained an ECG: […]
2014-11-18 18:33:47
Christine
100 yof CC: Rib pain and intermittent spasms
I believe this may be coronary artery vasospasm.
2014-11-18 11:02:45
Ian Fudge
What it Looks Like: Cardiac Arrest
this is really interesting because something similar happened to a patient as I sat them up in bed after delivering them to a community hospital in fact I even turned to his son and said "does dad suffer with epilepsy?" And then turned back and realised he wasn't breathing
2014-11-18 07:59:13

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