EMS is called to the residence of a 73 year old female with a chief complaint of chest pain. On arrival the patient is found sitting on the couch. She appears acutely ill. Skin is pale and diaphoretic. Onset: 1 hour ago Provoke: Nothing makes the pain feel better or worse Quality: Heaviness or pressure […]

The October 2010 “Sustain the Gain” webinar at the D2B Alliance website is called “On Scene and Hospital Hypothermia“. Brent Myers, M.D. gives a very nice overview of Raleigh/Wake County EMS’s hypothermia program. Click on the above link. Registration is fast and easy. The November 2010 “Sustain the Gain” webinar called “ECG Transmissions and False Positives” […]

I have a new column at EMS1.com. You can see Part I of my first article here: Changing Channels You can leave comments here, on the Facebook fan page, or at EMS1.com.

I had the privilege of participating in a discussion about the new 2010 AHA ECC Guidelines with Jamie Davis (the “podmedic”) and Monica Kleinman, M.D., the incoming Chair of the ECC Committee. You can listen to the podcast here: Emergency Cardiovascular Care 2010 Update Interview Special thanks to Dave Hiltz and Kate Lino of the […]

Here is the conlcusion to 63 year old male CC: Syncope. First, let’s take another look at the 12-lead ECG. This 12-lead ECG shows poor data quality. This is a problem because the ECG is abnormal and suspicious for acute anterior STEMI. We need to consider whether or not this could be benign early repolarization […]