Tag Archives: Code STEMI

Code STEMI Web TV Series in South Dakota – That's a wrap!

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I just got back from South Dakota and principal photography for the 2nd episde of the Code STEMI web TV series is complete! What an awesome time!  We attended the 2nd Annual South Dakota STEMI Summit, visited the two major health systems in South Dakota, interviewed EMTs, paramedics, nurses and physicians, met a STEMI survivor and […]

Conclusion to 60 year old male CC: Sudden cardiac arrest

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This is the conclusion to 60 year old male CC: Sudden cardiac arrest. As you may recall the resuscitation was implemented using the choreographed or "pit crew" model. This is characterized by: Leadership Skills and competencies Teamwork and communication Best practices Rehearsal Special emphasis is placed on: Minimally interrupted chest compressions Controlled ventilations Defibrillation Appropriate […]

STEMI Alert Protocol – Training PowerPoint

HHIFR STEMI Program – STEMI Alert Protocol Training View more presentations from Tom B..

12-Lead ECG Case Studies

My department is starting a 12-lead ECG “case of the month” as part of our continuing education. Each month, I will select an ECG that was transmitted from the field and resulted in a cath lab activation. Whenever possible, I will include the “before” and “after” angiograms so that the paramedics receive feedback about the […]

Update to: 52 yom CC: Syncope, Chest Pain

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Here is the conclusion to 52 year old male CC: Syncope, Chest Pain. In case you hadn’t guessed it, the culprit artery was the left anterior descending (LAD) artery. Let’s take a look at the angiograms. Normal RCA Proximal occlusion of the LAD After balloon inflation and stent placement

43 year old female CC: "Indigestion-like" chest discomfort

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Thanks to Jim Tarro for the following case study 43 year old female presents to EMS with “indigestion-like” chest discomfort. She states that it “feels like a previous heart attack.” Onset: Several hours ago Provoke: Antacids make the pain feel better Quality: “Indigestion-like” chest pain Radiate: The pain does not radiate Severity: She gives the […]

STEMI Alert protocol

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I’ve been working on a STEMI Alert protocol for my fire department. Basically, this is how we will notify our receiving hospital of a possible STEMI. At present, a STEMI Alert will not have the force of a Code STEMI which is the term the ED physicians use to activate the cath lab. The STEMI […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

JEMS Talk: Google Hangout

Comments
Alex
100 yof CC: Rib pain and intermittent spasms
>>Too perfectly lined up with the T-waves, while the isoelectric line is relatively stable, to be strictly movement artifact. Can these spasms be sync-d with (or caused by) mechanical movement of the heart walls?
2014-11-25 23:20:19
Erich
What it Looks Like: Cardiac Arrest
Fantastic post, must see stuff for junior paramedics, medical students, residents and nurses that could potentially see cardiac arrest on a regular basis.
2014-11-25 16:22:28
LITFL Review 156
83 Year Old Male: Shortness of Breath
[…] ischaemia? Check out this case from the EMS 12 Lead blog. For more effective learning, read the original case first. […]
2014-11-25 09:09:03
ECG Axis Interpretation
The 360 Degree Heart – Part I
[…] http://www.ems12lead.com/2014/09/11/the-360-degree-heart-part-i/ […]
2014-11-25 09:01:37
LITFL Review 152 - LITFL
The 360 Degree Heart – Part I
[…] you understand axis as well as you’d like? The EMS 12-Lead blog gives us the first in a new series on understanding axis on the ECG. […]
2014-11-25 08:55:15
Us and them
Us and them
We Need Some New Stories
We Need Some New Stories
Safety: Hillsborough at 25
Safety: Hillsborough at 25
Respect in Ferguson and everywhere else
Respect in Ferguson and everywhere else
Missing
Missing

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