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
Vince DiGiulio
The 360 Degree Heart – Part II
It is standard practice in electrocardiography to label the first 90 degrees counter-clockwise from "zero" that way. When you see a patient with "left axis deviation" you'll see that their measured QRS axis is somewhere between -30 and -90 degrees. Imagine if you saw someone with a mean QRS axis at 5 degrees. Now imagine…
2014-10-21 14:00:37
Bryan
The 360 Degree Heart – Part II
I don't understand why (-)III and aVL are be labeled -60 and -30 degrees instead of 300 and 330 degrees?
2014-10-21 13:43:29
The 360 Degree Heart – Part II | EMS 12 Lead
The 360 Degree Heart – Part I
[…] first post in our “360 Degree Heart” series attempted to visualize how the different frontal plane […]
2014-10-21 12:50:56
Eric Strong
Axis Determination – Part VI
This is a great discussion of axis determination. One minor suggestion: I think it's potentially misleading to refer to an axis between 0 and -30 as "physiologic left axis deviation", since "axis devitation" implies deviation from normal, and axes between 0 and -30 are perfectly normal, (depending on age and body habitus). It may be…
2014-10-05 17:09:00
Ian
Right ventricular infarction – Part I
Can you give me a little more info on hypervagotonia? I googled around for some info but there doesn't seem to be much info and it's a term I've never heard before. Thanks!
2014-10-05 15:09:24

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