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

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I know this is old, but it just popped up on facebook so I'll go ahead and put in my $0.02 worth. With that hx and that 12-lead, there's no question this is an acute STEMI. I'm comfortable calling that third strip Torsades (assuming I've verified it's not an equipment issue). The defib pads are…
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I thinks about WPWs on ECG!
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I have a better answer for Shay's patient (and Mel) and it's called lone a-flutter because I just had it diagnosed in me. I'm looking at my ekg showing a rate of 230 which fooled the doc who thought it was svt's until I told him I had no history of anything and talked him…
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