Archive for February2012

Discussion to 63 year old female CC: Chest Pressure

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This is the discussion to 63 year old female CC: Chest Pressure.  You may wish to review the case.  Also, you may wish to review the two part discussions about WPW here and here. Thanks to those who commented for some very insightful comments! Let's revisit one of the pre-conversion 12 Leads: We can see […]

My experience at the Resuscitation Academy

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  Back in October, I was fortunate to attend the Resuscitation Academy in Seattle, WA. As many of you already know, the Academy is run by Seattle Medic One and King County EMS, with the goal of improving survival from out of hospital cardiac arrest. EMS directors, managers and medical directors convened for a three […]

Premier episode of Code STEMI Web Series to debut at EMS Today 2012

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Heading to EMS Today 2012? Then we have an announcement for you! Episode 1 of the Code STEMI Web Series will released at EMS Today 2012 in Baltimore! This is the rural episode that features the emerging system of care in South Dakota and the work of AHA Mission: Lifeline. It includes EMTs, paramedics, nurses, […]

63 year old female CC: Chest Pressure

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Here's a case from a faithful reader who wishes to remain anonymous.  As usual, some information has been changed to protect patient confidentiality. You are called to transfer a 63 year old female from a community hospital to a large medical center. Upon arrival at the local hospital, you are confronted with chaotic scene. You […]

50 year old male CC: Chest Pressure – Discussion

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This is the discussion for 50 year old male CC: Chest Pressure. We could not have been happier at the number of insightful comments we received on this case! Many of you caught on to our purpose for this case as we could not have picked a better borderline example! When we last left our […]

50 year old male CC: Chest Pressure

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We hope you enjoy this case, as always some details have been changed to protect patient privacy. It's around 05:00 when the tones go off at your fire station for a medical response at a large apartment complex. You leave the bunkhouse with the engine crew and check enroute. Dispatch relays you are headed to […]

Heart Attack Grill lives up to its name — again

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You may recall my previous post about the Heart Attack Grill when Blair River, the 572 pound spokesman for the Heart Attack Grill died at the age of 29 from sudden cardiac arrest. Well, they're in the news again for all the wrong reasons. Image credit: Fox 5 News Click HERE for video. Once again, owner […]

Discussion for 90 year old male CC: Chest pain– Revisited

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We are revisiting the Discussion for 90 year old male CC: Chest pain.  You may wish to review the case. You may recall we pointed out that the VT appeared be regularly irregular, with alternating cycle lengths: What follows is a "Guest Post" by Jason Roediger, CCT/CRAT, and Ken Grauer, M.D. (www.kg-ekgpress.com): "The rhythm represents […]

Discussion for 17 year old male CC: Chest pain and palpitations – WPW Part II

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This is Part II of the discussion for 17 year old male CC: Chest pain and palpitations. You may wish to review Part I of the discussion. As we covered in Part I, our patient was experiencing the life threatening combination of Wolff-Parkinson-White (WPW) and atrial fibrillation. The EMS 12-Lead Blog team broke this conclusion […]

Discussion for 17 year old male CC: Chest pain and palpitations – WPW Part I

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This is Part I of the discussion for 17 year old male CC: Chest pain and palpitations. You may wish to review the case. If you recall from the case, our crew was performing an interfacility transport of a 17 year old male with a rapid, irregular tachycardia which required cardioversion. At the receiving facility […]