Code STEMI Web Series – EMS 12-Lead Podcast Episode #6

EMS 12-Lead podcast – Episode #6 – Code STEMI Web Series (Special Episode)

As you probably already know if you've been following EMS 12-Lead or First Responders Network on Twitter or Facebook, we're working on a new web series called Code STEMI.

We just got back from AHA Scientific Sessions 2011 in Orlando which was our first location. We met some incredibly passionate people and had some amazing experiences! 

Ted Setla, Jamie Davis and I discussed it on a special episode of the EMS 12-Lead podcast.

Ted Setla
Executive Producer of the Code STEMI Web series
Setla Films
First Responders Network

Jamie Davis
Executive Producer of the EMS 12-Lead podcast
MedicCast
ProMed Network

The first teaser for the series has also been released at the First Responders Network.

Click HERE to watch.

Chris "the Dridge" Eldridge, Ted Setla and Tom Bouthillet
at AHA Scientific Sessions 2011

2 Comments

  • Jack Bode says:

    I've been a medic for over 31 years and the recent pre-hospital recognition, treatment and proper dispositions of the STEMI patient has been the best thing since portable defibrillators.
    My department has been doing this for about 5 years and I have some thoughts and advice born of experience.
    1. Don't expect a boat-load of STEMI patients. I work in a large metro area, do about 1100-1200 runs personally a year, and see about three STEMI's.
    2. Train the medics to actually read the EKG. Don't waste time and money on telemetry.
    3. Allow the medics to activate the cath lab from the field. No gatekeepers – NONE.
    3. Give the medics hard rules about when they can activate the Cath-Lab.Ours are:
         a. ST elevation> 2mm or more in 2 contiguous leads
         b. Patient having chest pain and monitor indicated "acute MI"
         c. No blocks. QRS duration of 120 ms or less.
    4. Expect false cath lab activations. The occurance will drop over time. Ours is under 10%.
    5. Hammer home the education, make it a continuing project.
    The development of STEMI protocols and the introduction of devices such as the Lucas has made this most exciting time to be involved in EMS. Good luck on your project and thanks for your passion. I can't think of a more worthy endeavor.

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

JEMS Talk: Google Hangout

Comments
Dominic
Conclusion to 59 Year Old Male: Unwell
Great discussion on a difficult 12lead! I follow these very closely and based on pt presentation and 12lead tracing, this was a difficult or to treat with impending heart failure, hypotension, and trouble breathing. Thanks for the follow up and look forward to next week!
2015-07-06 20:53:35
Billy
Conclusion to 59 Year Old Male: Unwell
Hmmmm, I was fairly close. Sounds like most of the treatment occurred IN Hospital. Love case studies, and that one was good.
2015-07-06 20:28:25
Kori
59 Year Old Male: Unwell
There's the point! There is are no P waves, and the rhythm is irregulary-irregular-atrial fibrillation. If you look, it is rsR phenomen-RBBB, BUT there are huge ST elevations on all leads from V1-V5 (that's why the QRS complexes look so broad). I and aVL is clearly ST elevation suggesting STEMI. In limb leads you can…
2015-07-06 10:12:16
Vince DiGiulio
Conclusion to 59 Year Old Male: Unwell
I'll expand on this in the next post but unfortunately I actually wasn't present for this case so I can't give my direct account of how things happened. That said, from the notes I read and word-of-mouth from those involved (which I suspect painted things in a better light than I would have viewed them),…
2015-07-06 04:09:22
Matt King
Conclusion to 59 Year Old Male: Unwell
Hey Vince thanks for the through follow up with this case. I am curious how his rate was controlled since he was hypotensive and maybe an unknown onset of when his A-Fib stated(thinking anticoagulation first)? As you know the wrong approach could be devastating in this PT with risks of further infarction, stroke, or death…
2015-07-05 14:10:57

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