This is the conclusion to 47 year old male: Holiday Indigestion. Thanks go to a long time reader Nicholas Eisele for this holiday case! Editor's Note: sorry for the delay, it helps to press "publish"! When we left off, our patient was in the back of the truck with a burning sensation radiating to his […]
An important and useful article has been published that deserves our attention. Rokos IC, French WJ, Mattu A, Nichol G, Farkouh ME, Reiffel J, Stone GW (December 2010). “Appropriate Cardiac Cath Lab activation: Optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction“. Am Heart J 160 (6): 995–1003.e8 Here are some comments from […]
Here’s a great story from WSFB-TV Channel 3 Eyewitness News (Hartford-New Haven) featuring our very own Peter Canning from the Street Watch: Notes of a Paramedic blog! Watch as Peter calls in a “definite STEMI Alert” and activates the cath lab! Click HERE for the best quality video without commercials. Screen shots below.
I found an interesting article while surfing the internet this morning. Yamamoto Swan, Pamela BA, Nighswonger, Beverly RN, Boswell, Gregory L RN, & Stratton, Samuel J. MD, MPH. (2009). Factors Associated With False-Positive Emergency Medical Services Triage for Percutaneous Coronary Intervention. Western Journal of Emergency Medicine, 10(4), This is a retrospective analysis of 12-lead cases […]
Here are some highlights from Larson, Menssen, Sharkey et al “False-Positive” Cardiac Catheterization Laboratory Activation Among Patients With Suspected ST-Segment Elevation Myocardial Infarction, JAMA 2007;298(23):2754-2760. The false positive rates (suspected STEMI patients with ST-segment elevation but no clear culprit coronary artery, no significant coronary artery disease, and negative cardiac biomarker results) were analyzed at the […]
Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation