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
Comments
Richard Kenkel
64 y.o. Female with CP – “And then I gave her a NTG…”
Cardiac arrest? Its a RELATIVE contraindication. You need to use clinical gestalt. Her blood pressure is quite high, and her heart rate is average, she would probably tolerate nitro quite well. Provided she's not on beta blockers or calcium channel blocker, orthostatic hypotension etc, from what I can tell she'd compensate just fine. While there…
2014-09-16 02:05:12
Stephen Smith, of Dr. Smith's ECG Blog
59 year old male: chest pressure
Inferolateral MI, not RV (T-wave down in V1)
2014-09-14 18:16:53
Alex
The 360 Degree Heart – Part I
Some models of ECG machines have an option to flip aVR upside down. In this case it looks at +30* and fills in the gap between I and II.
2014-09-14 16:00:21
Lucas
59 year old male: chest pressure
Besides MI and Aortic Dissection, this presentation of acute chest pain and hemodynamic compromise, associated with important dyspnea would concern me for PE, which I think should be properly investigated.
2014-09-14 14:35:36
Joseph Goodson
The 360 Degree Heart – Part I
As a new Paramedic, this information is very useful and helpful. I believe there is more to understanding paramedicine than what can be taught in a class and it takes the initiative of the medic to pursue. Thank you for providing this simple yet understandable concept. Honestly, it never dawned on me how the hexaxial…
2014-09-13 15:27:21
It's OK.
It's OK.
Welcome to the Club
Welcome to the Club
Author Unknown
The Part We Forget
The Part We Forget
The Real Problem With Ray Rice
The Real Problem With Ray Rice

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