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
iliyas
Masters Case #01: 50 Year Old Male – Severe Chest Pain
Short runs of V.T LAD LAHB Widespread st depression with St elevation in avr Lf msin / three vessle disease Not sure about rhythm
2015-08-26 06:34:44
Darren Earley
Masters Case #01: 50 Year Old Male – Severe Chest Pain
1. L.A.D 2. De Winters (ST Elevation aVR, ST abnormality V2-3). 3. Non sustained VT 4.Poor quality ECG so cannot say about p waves or whether A.fib. Pre alert for ppci = evolving occlusion of LAD artery. Aspirin. Pain relief. Diesel
2015-08-25 17:26:50
michelle
Masters Case #01: 50 Year Old Male – Severe Chest Pain
first pt. sat's are to low at 94% for just room air pt. needs hi-flow o2 at 15 lt. min. i see a-fib. with runs of 3. st depression. there is also a chance of pheumonia. after o2 administer fluids, a chest x-ray, monitor the heart and ekg especially where bp is low.
2015-08-25 16:57:39
Ivan Rios
Understanding Adenosine (Adenocard)
Correct, even for stress test, with the same purpose.
2015-08-18 17:07:24
Joppe
Understanding Adenosine (Adenocard)
Adenosine is also used to measure FFR in the cathlab to achieve maximum vasodilation in the vessels in the Heart.
2015-08-18 16:02:13

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