Author Archives: Tom Bouthillet

Pediatric Pit Crew / High Performance CPR

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A reader asks, “Does your Pit Crew CPR process work for pediatrics?” (See video on Vimeo). The answer is yes (with some minor modifications). Some things to keep in mind: Pediatric cardiac arrest is more likely to be respiratory or asphyxial so there is less emphasis on “patient’s side to first shock” as the arrest […]

The most awesome STEMI test on the internet!

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Sr. Editor Christopher Watford created an online STEMI test based on McCabe JM, et al. Physician Accuracy in Interpreting Potential ST-Segment Elevation Myocardial Infarction Electrocardiograms. J Am Heart Assoc. 2013; 2:e000268. The exam was in beta testing for a while (see this thread at EMTLife.com) but it’s ready for prime time! It was featured at the […]

Pit Crew / High Performance CPR – The Explicit Details

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Here is a description of Hilton Head Island Fire Rescue’s Pit Crew / High Performance CPR process in bullet point form. It may help to think of it as a 4-phase process. Phase 1: Patient’s side to first shock Confirm pulselessness and announce “at patient, code blue” Start CPR (continuous chest compressions at the appropriate […]

Why do we send so many people to a cardiac arrest?

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I did a fair amount of traveling and teaching in 2013 and I’ve been struck by the number of people who have been amazed by the number of rescuers my fire department sends to a sudden cardiac arrest (1 ambulance, 2 engines, and a battalion chief). I think there are several reasons for this. In […]

STEMI Mimics and STEMI Equivalents

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Here’s my presentation from the VA EMS Symposium on 11/08/2013. (This content is no longer available.) See our comprehensive video-based 12-lead ECG course at ECG Medical Training.

Survivor gives us a lens into regional systems of care for acute ischemic stroke in North Dakota

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I just got back from the North Dakota Mission: Lifeline STEMI and Acute Stroke Conference in Bismark, ND. I had a great time and I learned a lot. I often get asked to speak in various venues about acute STEMI and 12-lead ECG interpretation, but for this conference they wanted me to talk mostly about […]

Episode #11 – Are we harming patients with oxygen?

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EMS 12-Lead Podcast – Episode 11 – Are We Harming Patients With Oxygen? In this episode of the EMS 12-Lead podcast we’re joined by Kelly Arashin, ACNP, CCNS and Mike McEvoy, PhD, RN, CCRN, REMT-P at EMS Today 2013 in Washington D.C. We discuss the benefits and dangers of oxygen administration. Kelly is a dual […]

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

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