Archive for December2011

AHA changes acceptable time to primary PCI from 90 to 120 minutes for acute STEMI

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Thanks to Ivan Rokos, M.D. for pointing out an important change in the 2011 ACCF/AHA/SCAI Guidelines for Percutaneous Coronary Intervention. Photo credit: Code STEMI Web Series at First Responders Network For years now many have complained about the AHA's official recommendation that primary PCI for acute STEMI be accomplished within 90 minutes of first medical […]

The importance of data collection and sharing

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Cross-posted from the Follow the Crew blog at CodeSTEMI.tv. We had a wonderful time in Dearborn. I was welcomed as a brother at Dearborn Fire Department and got to learn about an awesome fire-based EMS system which made me happy. In addition, we met some motivated and passionate caregivers at Oakwood Hospital. They are doing some […]

90 Year Old Male CC: Chest Discomfort

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HAPPY HOLIDAYS! Here's an interesting case submitted by a faithful reader who wishes to remain anonymous.  As usual, some details may have been changed to protect patient confidentiality. You are called to the residence of a 90 year old male.  Prior to your arrival, he was met by a BLS crew, walking around his apartment […]

18 year old male: Structure Fire Rehab – Conclusion

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Apologies for the delay, your author has been working nights and on the road traveling! We now return you to your regularly scheduled program. This is the conclusion to 18 year old male: Structure Fire Rehab. When we left off, we had a young firefighter in our rehab area with an elevated heart rate and […]

90 year old male CC: "Possible stroke" – Conclusion

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This is the conclusion to 90 year old male CC: "Possible stroke". You might want to go back and familiarize yourself with the details of the case. Let's take another look at the 12-lead ECG. Now with the computerized interpretive algorithm. On Facebook I had asked whether or not this ECG showed signs of ischemia. […]

Code STEMI Web TV Series in South Dakota – That's a wrap!

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I just got back from South Dakota and principal photography for the 2nd episde of the Code STEMI web TV series is complete! What an awesome time!  We attended the 2nd Annual South Dakota STEMI Summit, visited the two major health systems in South Dakota, interviewed EMTs, paramedics, nurses and physicians, met a STEMI survivor and […]