Tag Archives: E2B

47 year old male: Holiday Indigestion – Conclusion

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 […]

Congratulations to Dr. Michel LeMay

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Congratulations are in order for Dr. Michel LeMay of the Universtiy of Ottawa Heart Institute. He was recently one of eight Canadians recognized with an award from the Canadian Institute of Health Research (CIHR) and the Canadian Medical Association Journal (CMAJ) for “developing a new way to handle heart attacks that empowers paramedics to read […]

Prehospital ECGs and STEMI Receiving Centers

An important paper has been published that deserves to be read in its entirety. Rokos IC, French WF, Koenig WJ, et al. Integration of pre-hospital electrocardiograms and ST-elevation myocardial infarction receiving center (SRC) networks: Impact on door-to-balloon times across 10 independent regions. J Am Coll Cardiol Cardiovasc Intervent 2009; 2:339–346 Here are some highlights: “There […]

66 year old male CC: Chest pain

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Here's an interesting case that illustrates the value of the prehospital 12 lead ECG. A 66 year old male became suddenly ill while playing tennis. Bystanders state that he struck the ball with his racket, staggered a few steps, placed his hand over his chest, and sat down on the tennis court. 9-1-1 was contacted […]

Prehospital 12 Lead ECG – What Are the Indications?

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The primary purpose of the prehospital 12 lead ECG is to detect acute coronary ischemia or injury in the prehospital setting. That's not to say it's the only purpose for a prehospital 12 lead ECG, but it's the main reason we carry 12 lead monitors on the ambulance! Ideally, the early identification of STEMI patients […]

ACC/AHA 2008 Statement on Performance Measurement and Reperfusion Therapy

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The ACC/AHA 2008 Statement on Performance Measurement and Reperfusion Therapy was published on 11/10/08. Here are some highlights (from the prehospital perspective) with comments: “Acute reperfusion therapy, either with fibrinolytic therapy or percutaneous coronary intervention (PCI), is one of the most important treatments for patients with ST-segment elevation myocardial infarction (STEMI)…The timeliness of reperfusion therapy […]

D2B times at Parma Community General Hospital

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Last week I was browsing around the D2B Alliance website and clicked on a section called Hospital D2B Stories. The very first listing was Parma Community General Hospital, Parma, OH – learn how PCGH achieved 85% of patients treated within the 90 minute goal. This caught my eye. It just so happens that I graduated […]

Are You Up for the E2B Challenge?

In the October 2008 issue of Emergency Medical Services, our very good friend Ivan Rokos, MD makes some comments that are worth repeating. “[P]aramedics are now in a novel role, where they are able to diagnose STEMI faster and earlier than ever before using a prehospital EKG machine. This is important for two reasons: One […]

If time is muscle, what's taking so long?

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That’s that tag line of a tremendous article that appeared in the March 2007 issue of Emergency Medical Services entitled Out-of-Hospital STEMI Alert by David Jaslow, MD, MPH, EMT-P, FAAEM. I think the tag line sums up the frustration many of us “STEMI activists” feel when our prehospital 12 lead ECG programs flounder. Here are […]

AHA Scientific Statement on Prehospital 12 Lead ECGs

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The AHA Scientific Statement Implementation and Integration of Prehospital ECGs Into Systems of Care for Acute Coronary Syndrome was published online ahead of print on August 13, 2008. The ACC’s Cardiosource posted a good summary of the document on August 21, 2008 that included these 10 talking points: Prehospital electrocardiograms (ECGs) in patients with ST-elevation […]

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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