STEMI Mimics and STEMI Equivalents

Here’s my presentation from the VA EMS Symposium on 11/08/2013.


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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

JEMS Talk: Google Hangout

What If We’re Wrong? Prehospital ECG Interpretation
In my paramedic class we were taught to pay attention to the numbers generated by the monitor, but you can never trust them. You must examine the rhythms in each lead and look for appropriate elevations along with reciprocal depressions. And this is not a time consuming event. I will say that in my city…
2015-08-05 01:13:26
EMS Artifact
Nitro paste is NOT an emergency medicine drug – The Evidence
Interesting post. As you point out, nitropaste is ineffective in treating acute CHF. Of all the treatments I used over the years for this, CPAP is by far the best. That is followed by NTG spray, which my system started using in the late 1980s when it was first available. Our protocol then (and now)…
2015-08-05 00:22:18
68 Year Old Male: Chest Tightness – Part 1
i see some depression and slight elevation in the st segment in the avr. i would alert the stemi crew to stand by.
2015-07-27 17:15:03
sean morrison
68 Year Old Male: Chest Tightness – Part 1
It's the big one Weezy! LAD
2015-07-27 12:48:03
Ryan Lord
68 Year Old Male: Chest Tightness – Part 1
Had the exact same last night but a known AF patient pain commenced after 2 hours of palpitations and described as like a previous MI. Her rate was up at around the 160 mark... Had the widespread depression but elevated aVR and V1. Discussed with Cath Lab and preceded to A&E next door for review,…
2015-07-27 12:14:23

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