Update from EMS Today 2012

Photo credit: Kelly Arashin

"Team EMS-12 Lead" (Christopher Watford, Tom Bouthillet and David Baumrind) at the EMS 10 Awards

It's been an amazing week at EMS Today 2012! As you probably already know (if you've been following our Facebook page) I won an EMS 10 Award on Wednesday night.

I was nominated by our good friend David Hiltz from the American Heart Association (a previous EMS 10 Award honoree and well known for his work with HeartSafe Communites) and co-nominated by Associate Editors Christopher Watford and David Baumrind.

This is a tremendous honor but I'm very congizant that I couldn't do it without such awesome friends and mentors! The EMS 12-Lead blog and podcast would not be what it is without Christopher and David.

Photo credit: Chris Montera

"Podmedic" Jamie Davis, Tom Bouthillet and Ted Setla discuss the Code STEMI Web Series on the MedicCast

This week was also marked by the release of Episode 1 of the Code STEMI Web Series at First Responders Network! I've seen the first episode a couple of times but being there at the premier was really amazing!

Special thanks to Ted Setla and Chris Eldridge from First Responders Network and Erik Denny from Physio-Control (our indispensable partner on the road) for making this possible! I'm delighted to have been a part of it! 

Episode 1 was very well received! In fact, a couple of top-notch EMS systems are very interested in having us come out to feature their STEMI systems and the locations sound amazing! So keep your fingers crossed. We'd love to continue this series! 

If you haven't watched the first episode yet, what are you waiting for? CLICK HERE

Photo credit: Dave Konig

Premier of the Code STEMI Web Series at the Physio-Control Learning Center

Kelly and I are having a wonderful time. We're seeing lots of old friends and making some new ones, too! EMS 2.0 has been called an idea and it's been called a movement. More than anything else we've come to realize it's about friendship and it's about relationships.

It may have started online but it's accomplishing some amazing things in the real world! 

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

JEMS Talk: Google Hangout

Comments
Jared
59 Year Old Male: Unwell
Field Dx: Uncompensated cardiogenic shock. Tachycardia caused by compensation mechanism. Probable cause: Complete heart block due to the global nature of the changes. Tx: O2 @ 15 lpm NRB and possibly CPAP if pressure rises enough, 324 ASA, amio drip, possible norepi, and diesel. Put pads on in case he tanks. Definitive Tx: Needs cathed.
2015-07-02 17:46:57
Jonas
59 Year Old Male: Unwell
CPAP. IV. Nitro if BP can be controlled. Kidneys may be in acute failure causing extra fluid, or CHF, or both. Big ole triangular looking t-waves would have me thinking calcium. Monitor to see if conditions improve with CPAP. Place pads on patient, and have help with you in the ambulance.
2015-07-02 17:17:30
Brian Brubaker
59 Year Old Male: Unwell
At a quick glance it looks like tombstones (R on T). At closer look without calipers, it appears to be accelerated ideoventricular rhythm due to complete heart block. Not enough information to go off of, so cardioverting or pacing might just kill the patient quicker than anything. Transport immediately since his sick heart could stop…
2015-07-02 05:49:02
Holden
59 Year Old Male: Unwell
I've only studied cardiology for a few months and have read Dubin's book 1.5 times so I'm not an expert by any means. However, can a possible interpretation be a junctional tachycardia with aberrant ventricular conduction and a STEMI? No P waves and aberrancy causing a slightly wide QRS (but not wide enough for V-Tach).
2015-07-02 00:50:22
James
59 Year Old Male: Unwell
This is a ugly EKG. Wide complex irregular tachycardia around 150's. A-fib and a-flutter are possibilities. He's severely symptomatic. At this point, all treatment is same, electricity. If A fib, it may not want to "shock out" easily. This may be a case where initial cardioversion at max joules would be prudent. Pulmonary edema likely…
2015-07-01 22:00:13

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