On arrival, the patient is found awake in bed in no apparent distress. She is able to converse, answers questions appropriately, and doesn’t appear to be post-ictal.

The February 2011 EMS 12-Lead column at EMS1.com has been posted. Run of the Mill Submit your interpretation and treatment plan for a chance at a T-shirt and bottle opener. Good luck!

Here is the conclusion to an unusual case of right bundle branch block. Let's take another look at the 12-lead ECG. This 12-lead ECG shows acute anterior STEMI in the presence of right bundle branch block, but you really need a trained eye to see it. We talk a lot about the "rule of appropriate […]

Physio‐Contro (@PhysioControl) and BeneChill (@RhinoChill) announced today a strategic partnership to launch the RhinoChill IntraNasal Cooling System in Europe. RhinoChill is a non‐invasive, portable system for transnasally cooling the head and lowering the body’s core temperature immediately following cardiac arrest, stroke or traumatic brain injury. Initially, the partnership will focus on bringing the RhinoChill System to […]

As many of you know I pay close attention to social media and I’m especially interested in the intersection of health care and social media. One person that I think does an extraordinary job is Kristen Hall with Barnes Jewish Hospital. Facebook fan page here, Twitter account here, news blog here. You may recall that […]

Here is the conclusion to 68 year old female unresponsive on kitchen floor. Let’s take another look at the 12-lead ECG. This ECG is classic for severe hypothermia. The rhythm is atrial fibrillation It’s bradycardic The QT/QTc is prolonged Osborn waves (J-waves) are present throughout You can see how the Osborn waves (J-waves) can be a […]

We Yankees can learn a lot from the way they do things across the pond.

EMS is called to perform a “health and welfare” check on a year old 68 year old female who has not been seen by the neighbors for at least 24 hours.

It turns out this patient was experiencing a STEMI.

We all know by now that transcutaneous pacing (TCP) is no longer recommended for asystolic arrest. But what about patients who experience return of spontaneous circulation?