Episode 3 of the Code STEMI Web Series – Dearborn, Michigan

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See also:

Episode 1: Rural STEMI sytem of care – Sioux Falls, SD

Episode 2: Understanding STEMI from the ground, up – RACE Program, NC

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Ruud Valkenborg
Snapshot Case: What Happened?
Beautyfull R on T with a unsynchronised ECV. :-)
2015-05-27 07:38:19
george
Snapshot Case: What Happened?
why cardiovert urgently in this case? The first strip shows a "well controlled" heart rate. Cardioversion provoked torsade de points due to unsync administration....... Unnecessary risk taken......when amiodarone or flecainide would do the job "quietly".....
2015-05-27 06:46:53
Joe
Snapshot Case: What Happened?
Pt has some wicked bi-phasic T-waves s/p defibrillation...
2015-05-27 04:01:32
Greg
Snapshot Case: What Happened?
Unsynced cardioversion! I mirror the comments above wondering why this patient even required cardioversion for this afib as the rate doesn't seem particularly sinister. And after 4 shocks maybe consider that the afib might not respond at all and focus on other treatment avenues.
2015-05-27 02:56:05
Sam
Snapshot Case: What Happened?
The patient appears to have been unintentionally cardioverted during the relative refractory period, which can send the heart into v-fib. The first attempt looks to be 50J, under the 120J usually recommended for rapid a-fib, and did not work. Before the second attempt, it appears that there is no longer capture and the patient was…
2015-05-26 23:51:11

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