Wednesday Missive: On Innovation and Gratitude

As most of you know by now, "Team EMS-12 Lead" had a lot to celebrate at the EMS Today conference in Baltimore. Tom Bouthillet received his well deserved EMS 10 award, and his Code STEMI Web Series premiered as well. Lots of great stuff going on!

The premier of Code STEMI happening the same time as the EMS 10 award was very apropos.  The web series–incredibly informative and well done–is a great example of Tom's ability to innovate.  He is always pushing for new ways to raise the bar of cardiovascular education and care in this country and abroad.

Most of all, though, we want to celebrate you: our readers, listeners, and followers. We all have busy lives, with lots of ways to spend our free time. We've had over 2,000,000 page views and 5,500 comments on the website alone in the last 4 years! We want to thank you for choosing to spend some of your time with us.

As you improve your skills, you inspire us to keep getting better ourselves, always trying to provide worthwhile and interesting content. Not to mention, we learn something new from you guys and gals every day!

So as we celebrate Tom and his terrific accomplishments, we want to also celebrate you as well.

Thanks for your support, what you do makes a difference!

Team EMS 12-Lead

 

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Dominic
Conclusion to 59 Year Old Male: Unwell
Great discussion on a difficult 12lead! I follow these very closely and based on pt presentation and 12lead tracing, this was a difficult or to treat with impending heart failure, hypotension, and trouble breathing. Thanks for the follow up and look forward to next week!
2015-07-06 20:53:35
Billy
Conclusion to 59 Year Old Male: Unwell
Hmmmm, I was fairly close. Sounds like most of the treatment occurred IN Hospital. Love case studies, and that one was good.
2015-07-06 20:28:25
Kori
59 Year Old Male: Unwell
There's the point! There is are no P waves, and the rhythm is irregulary-irregular-atrial fibrillation. If you look, it is rsR phenomen-RBBB, BUT there are huge ST elevations on all leads from V1-V5 (that's why the QRS complexes look so broad). I and aVL is clearly ST elevation suggesting STEMI. In limb leads you can…
2015-07-06 10:12:16
Vince DiGiulio
Conclusion to 59 Year Old Male: Unwell
I'll expand on this in the next post but unfortunately I actually wasn't present for this case so I can't give my direct account of how things happened. That said, from the notes I read and word-of-mouth from those involved (which I suspect painted things in a better light than I would have viewed them),…
2015-07-06 04:09:22
Matt King
Conclusion to 59 Year Old Male: Unwell
Hey Vince thanks for the through follow up with this case. I am curious how his rate was controlled since he was hypotensive and maybe an unknown onset of when his A-Fib stated(thinking anticoagulation first)? As you know the wrong approach could be devastating in this PT with risks of further infarction, stroke, or death…
2015-07-05 14:10:57

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