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
Comments
“Bad heartburn” – Conclusion | EMS 12 Lead
63 year old male CC: Substernal Chest Pain – Discussion
[…] upright T waves is actually not representative of acute occlusion – for more on this, read this discussion on old versus “new” teaching on recognizing posterior MIs. We do not see ST elevation in aVR or V1 that would suggest a concomitant RV infarct, […]
2014-08-22 16:49:18
Brooks Walsh MD
“Bad heartburn” – 82 y.o. female without chest pain.
Why give atropine at this time?
2014-08-22 15:42:18
Bryan Laviolette
“Bad heartburn” – 82 y.o. female without chest pain.
In addition to the above treatment consensus (ASA, Plavix, judicious NTG, fentanyl, fluid bolus, right sided leads), I would absolutely transport this patient to a PCI centre. Culprit artery is the RCA (STE lead III > II) leading to AV nodal ischemia and junctional bradycardia. In addition to the above treatment I would give 0.5…
2014-08-22 13:14:35
Jared
“Bad heartburn” – 82 y.o. female without chest pain.
Not much to add but my 2 cents...I'd definitely be careful with the nitro, not saying withhold it completely but absolutely use some common sense. I'd have to say probably RCA occlusion, and catch team needs to be activated for a stemi alert immediately. Treat it like a stemi until proven otherwise. If it walks…
2014-08-22 08:49:36
Brooks Walsh MD
“Bad heartburn” – 82 y.o. female without chest pain.
The option was indeed turned on! As for non-CP presentations of ACS, I absolutely believe that these warrant the same level of urgency as the "typical" presentations. Both men and women, young and old, all commonly present without classic chest pain. Besides, how much difference is there between "burning in the epigastrium," and "pain in…
2014-08-21 17:10:37

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