Archive for November2009

ACC/AHA focused update for STEMI and PCI

The ACC/AHA focused update of guidelines for STEMI and PCI have been released. They offer new insight into which patients should be given thrombolytics prior to transfer for PCI. They also give a “shout out” to Mission: Lifeline! 2009 Focused Updates: ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction (Updating the 2004 […]

65 year old male CC: Cardiac arrest on the tennis court

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65 year old male collapses while playing tennis. The scene is less than 1 minute from the fire station. On arrival, bystanders are providing rescue breaths but no chest compressions. Medical history is unknown. Initial rhythm: First shock: Return of spontaneous circulation (ROSC) noted. Rhythm strip: 12 lead ECG: The patient is still unconscious. LMA […]

Honoring Our Veterans

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Since the Veteran’s Day activities at Shelter Cove Community Park scheduled for today have been canceled due to inclement weather, I’d thought I’d repeat last year’s dedication to America’s veterans. Happy Veteran’s Day! 11/11/08 To all the brave veterans of America’s wars, the Prehospital 12 Lead ECG blog says “Thank you for your service to […]

81 year old female CC: ICD shocks x6

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EMS responds to a 81 year old female who was implanted with “a pacemaker” 2 weeks ago. She complains that the device has shocked her 6 times. On arrival the patient is found sitting in a chair. She is anxious but alert and oriented to person, place, time and event. Vital signs: Resp: 18 Pulse: […]

Found on the Lifenet Receiving Station

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Is there anything about this ECG (other than the poor data quality) that interests you? The patient was a 90 year old male, fall with injury. Also complaining of pain between the shoulder blades. *** UPDATE *** This ECG caught my eye because it satisfies one of Sgarbossa’s criteria for the identification of AMI in […]

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