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
Arlene R
The Trouble with Sinus Tachycardia
It has been very insightful for me as i read this post. Thanks to the may people who commented. Like many nurses, I was also taught to differentiate svt from st by rate and now I stand corrected. I have a Telemetry test coming up soon, I wont have the patient in front of me…
2014-11-20 19:59:33
Nick
100 yof CC: Rib pain and intermittent spasms
Can't be a potassium imbalance. The TW's wouldn't change and then change back. If it was coronary spasm, I would expect some ST segment elevation. The TW'S are also not hyperacute (peaked). Does she wear some sort of electronic stimulator?
2014-11-19 01:05:43
Anterior T wave inversions and PE. | EMS 12 Lead
Not just S1Q3T3: Look at the other 10 leads!
[…] Last week, I described the case of a middle-aged male with a vague history of heart failure who had been having progressive shortness of breath for 4-5 days. On the day he called 911, he had been walking a short distance when he syncoped. EMS obtained an ECG: […]
2014-11-18 18:33:47
Christine
100 yof CC: Rib pain and intermittent spasms
I believe this may be coronary artery vasospasm.
2014-11-18 11:02:45
Ian Fudge
What it Looks Like: Cardiac Arrest
this is really interesting because something similar happened to a patient as I sat them up in bed after delivering them to a community hospital in fact I even turned to his son and said "does dad suffer with epilepsy?" And then turned back and realised he wasn't breathing
2014-11-18 07:59:13

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