Triaging Triage ECGs

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I’ve spent nine years working in an emergency department, which means I’ve also spent nine years performing electrocardiograms at triage. With a couple thousand waiting-room ECGs under my belt, I’ve noticed a few things: A lot of ECGs are ordered at triage. Many of them are performed on low-risk patients. Very few of those ECGs […]

ECG Mixtape: Vol. 2

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Welcome to the second installment in our ECG Mixtape series! It looks like this will be an irregular publication while we streamline our process of picking cases and getting permission to reproduce them. Enjoy! Pick of the Week This weeks top pick comes from cardiologist Dr. Gianni Manzo in São Paulo, Brazil, who shared this […]

ECG Mixtape: Vol. 1

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Welcome to the start of a new series here at EMS 12-Lead. With the ECG Mixtapes we’ll compile some of the week’s best ECG’s from around the world of social media and #FOAMed. As High Fidelity taught us, “The making of a great compilation tape, like breaking up, is hard to do and takes ages […]

Snapshot Case- No Day at the Beach

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It is a beautiful summer afternoon when you and your partner are called to the beach for a “swimmer in distress”. Upon your arrival, you find a 48 year old male sitting on a beach towel, appearing to be in some distress. You are told that he was swimming in the ocean when he began […]

59 Year Old Female: Intermittent Head Pain (Conclusion)

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This is the conclusion to Wednesday’s post; if you haven’t seen it, I highly suggest checking out the original case description and initial ECG. Wednesday’s case introduced a 59 year old woman with a chief complaint of intermittent occipital head pain for about 10 days. Recently, it had started radiating into her neck and upper […]

59 Year Old Female: Intermittent Head Pain

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One of my co-workers told me that she wants to see more case studies. A 59-year-old female presents to the emergency department with a chief complaint of “head pain that comes and goes.” She describes the pain as a dull ache in her occiput that’s been striking without warning a couple of times per day […]

No, doubling the paper speed will not reveal hidden P-waves

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Apparently I went to the Rick Bukata School of Titling Articles. A 22-year-old male presents with agitation and delirium after smoking an unknown substance that an equally unknown person on the street offered him. You note a rapid radial pulse at around 150 bpm and attach him to the cardiac monitor: Well now we’re in […]

RCP de Alto Desempaño – ¡Rendimiento sobre Protocolo!

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Esta entrada es un complemento a Pit-Crew CPR en Adultos y Pit-Crew CPR Pediátrica. En concreto, esta es la forma en la que hemos modificado nuestro proceso de formación tras asistir a la Resuscitation Academy en Seattle / King County. Durante el re-entrenamiento, cada rescatador debe experimentar cada posición al menos dos veces. Dicho de […]

High Performance CPR – Performance Not Protocol!

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[Español] This is a supplement to Adult Pit Crew CPR and Pediatric Pit Crew CPR. Specifically, this is how we have modified our training process since attending the Resuscitation Academy in Seattle / King County. Each rescuer should experience each position at least twice. In other words, you run the drill, stop and switch, run the drill, […]

Pit Crew / High Performance CPR on the EMS Nation Podcast

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Editor-in-Chief Tom Bouthillet (@tbouthillet) was on the EMS Nation podcast (@EMS_Nation) for EMS Week. The topic was Pit Crew / High Performance CPR and Systems of Care. Click HERE to open in iTunes. Click HERE to open in Libsyn (with built-in media player). Referenced in this podcast Adult Pit Crew CPR – The Explicit Details […]

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