Tag Archives: STEMI Alert

71 year old male CC: Chest pain – Conclusion

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This is the conclusion to 71 year old male CC: Chest pain. Thanks for all the great comments! Let’s take another look at the 12-lead ECG. This 12-lead ECG shows acute anterior ST-elevation myocardial infarction. Significant ST-elevation is present in leads V2-V5, I and aVL with reciprocal ST-depression in leads III and aVF. A “STEMI […]

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 […]

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
Nathan
68 y.o. male with weakness: “Treat the monitor, not the patient?”
Much more worried about HYPERkalemia than hypokalemia. Extreme wide QRS + Peaked T Wave is strongly indicitive of HyperK
2014-10-02 14:55:20
Nathan
68 y.o. male with weakness: “Treat the monitor, not the patient?”
This is huuuugely wide. Thinking hyperkalemia. Start with Calcium. Not going to hurt anything with it - and may save the patient.
2014-10-02 14:40:52
steve
68 y.o. male with weakness: “Treat the monitor, not the patient?”
I have seen this before except it was worse. Based on 3 diuretics and presence of wide bizarre ecg I would go with hyperkalemia . This pt requires electrolyte balancing not a PCI My pt presented Brady, hypotensive , simular morphology ecg with pauses and did not respond to fluid atropine or pacing ended up…
2014-10-02 14:01:53
Colleen
68 y.o. male with weakness: “Treat the monitor, not the patient?”
Allergies? O2, combivent, Calcium. Repeat 12lead ekg. 2nd set of signs. Depending on 2nd Ekg and 2nd set of signs with combivent, reassessment of patient after interventions. Depending on reassessment, 2nd/3rd VS, and 2nd EKG, would determine my decision on where to transport. Per Massachusetts protocols.
2014-10-02 05:57:52
Billy Bob
68 y.o. male with weakness: “Treat the monitor, not the patient?”
Well I will lean with Dave and go with more education; this is a classic sine wave EKG and with more education hopefully we all could spot this from across the door because again as Dave said this is something rarely seen in EMS if at all; this is the ONE TIME I will advocate…
2014-10-02 02:49:58

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