Author Archives: Tom Bouthillet

Code STEMI – London Ambulance Service

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Ivan Rokos, M.D. has referred to primary PCI for acute STEMI as “the most complex, multi-disciplinary, and time-sensitive therapeutic intervention in the world of medicine.” The emphasis on door-to-balloon times, and more recently, first medical contact or EMS-to-balloon times has transformed how acutely ill patients suffering heart attacks receive timely reperfusion in many communities, because […]

Code STEMI Web Series – London to premier at EMS Today in Washington, D.C.

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Seaon 2 of the Code STEMI Web Series is set to launch on March 7, 2013 at EMS Today in Washington, D.C.! This season starts out with our most exciting location ever — London, England as we feature the London Ambulance Service (LAS). You can follow the series at First Responders Network or at CodeSTEMI.tv. […]

New Infographic: Left Anterior Fascicular Block (LAFB)

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Since infographics are all the rage nowadays I thought we'd put some together for ECG interpretation. I'm starting with left anterior fascicular block… well, just because! I hope you find these to be useful! See also: Left anterior fascicular block

Episode #10 – Brooks Walsh, M.D. from Mill Hill Ave Command

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EMS 12-Lead podcast – Episode #10 – Brooks Walsh, M.D. from the Mill Hill Ave Command blog  In this episode of the EMS 12-Lead podcast we're joined by Brooks Walsh, M.D., Emergency Physician and Editor of Mill Hill Ave Command and Doc Cottle's Desk. We discuss paramedic education, ECGs, blogging, science fiction doctors, "treating the patient […]

Episode #9 – Thomas Concannon, ph.D. talks about regionalization of STEMI care and the proliferation of PCI hospitals in the United States

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EMS 12-Lead podcast – Episode #9 – Thomas Concannon, ph.D. talks about the regionalization of STEMI care and the proliferation of PCI hospitals in the United States In this episode of the EMS 12-Lead podcast we're joined by Thomas Concannon, ph.D., Assistant Professor of Medicine at Tufts Medical Center and Tufts University School of Medicine. […]

The early repolarization experiment

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Any paramedic who has studied the STEMI mimics has heard of the classic benign early repolarization pattern of a "fish-hooked" J-point with upwardly concave (smiley-faced) ST-segment, often best appreciated in lead V4. But, as the excellent work of Stephen Smith, M.D. demonstrates, not all cases of early repolarization present this way, and it can often […]

Episode #8 – Jim Broselow, M.D. and the Artemis Pediatric Initiative – EMS 12-Lead podcast

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EMS 12-Lead podcast – Episode #8 – Jim Broselow, M.D.  In this episode of the EMS 12-Lead podcast we're joined by Jim Broselow, M.D., inventor of the Broselow Tape for pediatric resuscitation. We discuss the Broselow Tape as well as eBroselow.com, the Artemis Pediatric System and the SafeDose app. If you've been in EMS for […]

STEMI Recognition: Beyond the Basics – Register now!

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Coming soon! Register now for "STEMI Recognition: Beyond the Basics".  August 16, 2012 @ 2:00 p.m. (14:00) EST. Sponsored by Physio Control (thank you).  Direct link for registration is here.

EMS 12-Lead Podcast Episode #7 – PulsePoint

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  EMS 12-Lead Podcast – Episode #7 – PulsePoint In this episode of the EMS 12-Lead podcast we're joined by Richard Price of the PulsePoint Foundation. If you're not familiar with PulsePoint it used to be referred to as the San Ramon Valley Fire Department app. Richard Price PulsePoint Foundation Fire Chief, San Ramon Valley […]

65 year old male CC: Fall with injury – Conclusion

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This is the conclusion to 65 year old male CC: Fall with injury. You may wish to review the history and clinical presentation. When we left off the patient was in severe heart failure with the following 12-lead ECG. As we have mentioned before on several occasions, the most important thing when treating a patient […]

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

JEMS Talk: Google Hangout

Comments
Ivan Rios
The role of 12 lead ECG in Pediatric Pulmonary Hypertension
Thanks for writing Tyler. They are the same thing. Strain pattern is just the result of increased pressures against the ventricles which alters the way repolarization occurs from epicardium to endocardium. Similar to stepping on a puddle of water. Your show spreads the water away from the area of pressure. The ST segment is slightly…
2014-12-17 18:44:24
Tyler
The role of 12 lead ECG in Pediatric Pulmonary Hypertension
Can you explain how these ST segment and T wave changes can be differentiated from right strain pattern?
2014-12-17 18:18:25
The role of 12 lead ECG in Pediatric Pulmonary Hypertension | EMS 12 Lead
PULMONARY PRESSURES AND ECG PATTERNS
[…] Pulmonary artery pressures and ECG patterns […]
2014-12-17 17:34:06
EMS 12 Lead
PULMONARY PRESSURES AND ECG PATTERNS
[…] Pulmonary artery pressures and ECG patterns […]
2014-12-17 17:26:42
What it Looks Like: Cardiac Arrest | Think Safe Blog
What it Looks Like: Cardiac Arrest
[…] http://www.ems12lead.com/2014/11/11/sudden-cardiac-arrest/ November 11, 2014 | Original Articles | Vince […]
2014-12-16 16:08:39

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