Archive for March2016
Continuous Chest Compressions vs. 30:2. Does It Matter? Depends On the Quality!
Seattle Fire Department Engine 2. The rescuer on the left has just placed a metronome on the ground. I will eventually get around to composing a more thoughtful blog post about my experiences at the Resuscitation Academy but in the interim I wanted to share something about the ventilation strategy in King County, Washington. There […]
EMS 12-Lead
Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, ResuscitationRecent Posts
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Ken Grauer, MD
Electrocardiographically Silent High Lateral STEMI Equivalent
Hi Tom. This is a great case — so NICE that you posted it for others to learned from. But as I commented several times when you sent this case around to our group — the T waves in V2,V3 are disproportionately peaked and transition occurs early (between V1-to-V2) — so the chest leads are NOT…
2018-08-14 08:38:03
Electrocardiographically Silent High Lateral STEMI Equivalent
Hi Tom. This is a great case — so NICE that you posted it for others to learned from. But as I commented several times when you sent this case around to our group — the T waves in V2,V3 are disproportionately peaked and transition occurs early (between V1-to-V2) — so the chest leads are NOT…
2018-08-14 08:38:03
Eli
58 Year Old Male, Workout Worry
Anybody else see the possibility of a LBBB or A-Flutter? I'm not sure if this will make any difference with the treatments but im just trying to interpret it first because if there is a LBBB then it does not meat Sgarbossa criteria and if it is A-Flutter that could explain the hyper acute T's…
2018-07-20 21:29:21
58 Year Old Male, Workout Worry
Anybody else see the possibility of a LBBB or A-Flutter? I'm not sure if this will make any difference with the treatments but im just trying to interpret it first because if there is a LBBB then it does not meat Sgarbossa criteria and if it is A-Flutter that could explain the hyper acute T's…
2018-07-20 21:29:21
Aigars
58 Year Old Male, Workout Worry
I would give some morphine, NTG, and aspirin. Here, in Latvia, no clopidogrel and heparin is requested if there is no evidence of STE. Clopidogrel is now replaced with ticagrelor. On the scene would like to see some previous ECG's to compare. There is LBBB, difficult to interpret the ECG, may be old changes. High…
2018-07-07 18:16:14
58 Year Old Male, Workout Worry
I would give some morphine, NTG, and aspirin. Here, in Latvia, no clopidogrel and heparin is requested if there is no evidence of STE. Clopidogrel is now replaced with ticagrelor. On the scene would like to see some previous ECG's to compare. There is LBBB, difficult to interpret the ECG, may be old changes. High…
2018-07-07 18:16:14
Vince DiGiulio
58 Year Old Male, Workout Worry
Great point. I've seen a couple of cases where a STEMI patient's only PVC (over the course of an hour or more) was the one that put them into VF. Now, the pads go on any time I'm calling a STEMI alert.
2018-07-07 03:05:33
58 Year Old Male, Workout Worry
Great point. I've seen a couple of cases where a STEMI patient's only PVC (over the course of an hour or more) was the one that put them into VF. Now, the pads go on any time I'm calling a STEMI alert.
2018-07-07 03:05:33
Vince DiGiulio
The 360 Degree Heart – Part I
Glad I could help! Understanding the relationships between the leads definitely allows you to "see" the ECG in an entirely different way.
2018-07-07 02:55:32
The 360 Degree Heart – Part I
Glad I could help! Understanding the relationships between the leads definitely allows you to "see" the ECG in an entirely different way.
2018-07-07 02:55:32
