Transcutaneous Pacing Success!!! Part 2

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This is the second half of a two-part case presentation examining transcutaneous pacing. If you didn’t see yesterday’s post I highly suggest checking out Part 1 before continuing, but if you hate learning I suppose you can start here. Yesterday we examined a series of tracings that depicted transcutaneous pacing (TCP) in all its stages: […]

Transcutaneous Pacing Success!!! Part 1

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Anyone trained in transcutaneous pacing (TCP) needs to be able to identify the rhythm below instantly. It shows a patient being transcutaneously paced at 80 bpm and 125 mA on a LifePak 12 [the strip is labelled 130 mA but that refers to a point just past the end of the paper, I promise]. Well, […]

Revolutionizing Pediatric Resuscitation, JEMS Games Finals, and a Very Serious Topic #EMSToday2015

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Friday, February 27 Okay, I admit it. I’m 43 years old and I can’t party like I used to. I needed a little help yesterday morning after ZOLL SHOCKFEST. But, I had an important meeting to attend with three amazing women who keep the trains running on time at EMS Today 2015 – MaryBeth DeWitt (@dewittmarybeth), […]

Meetings, Great Classes, and Celebration! #EMSToday2015

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Thursday, February 26 My day started early (these blog posts don’t write themselves you know!) and then I was off to my first ever JEMS Editorial Board meeting. As the “new guy” I had resolved not to cause too much trouble. A.J. Heightman (@AJHeightman) was suffering a bit of laryngitis which gave everyone good-natured laugh at A.J.’s […]

From Precons to EMS 10 Awards and Nightwatch! #EMSToday2015

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Wednesday, February 25, 2015 What an awesome day at EMS Today 2015! Kelly and I headed over to the Convention Center to get registered and ran into our very good friends Nick Nudell (@RunMedic), Chris Montera (@geekymedic), and Anne Robinson Montera (@CaringAnne). Nick and I started the EKG Club many years ago as an email-based discussion […]

A visit to Johns Hopkins #EMSToday2015

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Tuesday, February 24, 2015 We arrived a day early into Baltimore and decided it would be a good idea to visit what is arguably the nation’s best hospital. Johns Hopkins Hospital’s core values include Excellence & Discovery, Leadership & Integrity, Diversity & Inclusion, and Respect & Collegiality and you sense when you’re walking around that […]

The Calm Before the Storm! #EMSToday2015

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In case you haven’t heard the good folks at PennWell and JEMS have selected yours truly as the Official Blogger of EMS Today 2015. The #EMSToday2015 hashtag is already buzzing! My wife Kelly @barefootNurse24 and I @tbouthillet flew into Baltimore yesterday and it was fun to follow our international colleagues gearing up for the JEMS Games! Here we have Hayden […]

The 12 Leads of Christmas: V3

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This is the eleventh and penultimate article in our latest series, The 12 Leads of Christmas, where each day we examine an individual electrocardiographic lead. Lead V3 Sorry about the huge delay since the last post in this series—work, life, and teaching took over for a few of weeks. Today we’re going to discuss V3, […]

Adenosine for sinus tachycardia: Try to avoid this!

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This is the feedback I gave the student on this case. (Recall that this was a young adult male who presented with dyspnea, chest pain, as well as pre-syncope, whose initial ECG showed a brisk tachycardia which went up to the 170s at points): Bottom line: “As you point out, this was sinus tachycardia. When […]

The first iPad mini goes to . . . #EMSToday2015

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Well, apparently at least one of you registered for EMS Today 2015 using promo code EMS12LEAD during checkout. How do I know this? Because I was recently notified by our friends at PennWell that the first drawing for an iPad Mini is complete! The winner is . . . Steven Caho! Congratulations, Steven! If you’re reading this […]

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

JEMS Talk: Google Hangout

Comments
Aman
The 12 Leads of Christmas: V2
Thank you for your response. By all means, take your time! As for the source of the first figure, I got it from the book "Essential Cardiology: Principles and Practice - 3rd edition" by Clive Rosendorff - Chapter 7, Figure 7.3 (Page 97). It's one of the rare texts where I found a mention of…
2015-04-27 06:52:25
Vince DiGiulio
The 12 Leads of Christmas: V2
Your questions on this topic are some of the best I've encountered—no need to apologize! It makes me very happy to see this post reaching the right people. I'm working non-stop the next two days but I will get back to you soon with my full response. Two things to start: First, where did you…
2015-04-27 05:14:11
Aman
The 12 Leads of Christmas: V2
Thank you so much! I wonder why this information is not found in ECG texts. I have a query though. The critical information seems to be the fact that leads V1 and V2; V3; and V4-V6, each are physically located on a different transverse plane with respect to the theoretical electrical center. (Also mentioned in…
2015-04-26 18:24:06
Matthew
68 y.o. male with weakness: “Treat the monitor, not the patient?”
I lean toward what jason said above - Going to the PCI Hospital, but not activating the lab yet. Go with the Hyper K treatment enroute.
2015-04-26 13:34:57
Ken Grauer, MD
Understanding Digoxin
Digoxin is used much less frequently these days than in the past - when it was a drug that virtually every patient with heart failure was taking. As a result - many clinicians in modern times are far less familiar (and comfortable) with how to dose Digoxin. Digoxin pharmacokinetics are linear - You double the…
2015-04-16 03:27:43

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