Archive for April2011

April 2011 EMS 12-Lead case at EMS1.com – The Path (More) Traveled

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Part I of the April 2011 EMS 12-Lead column is now posted at EMS1.com. The Path (More) Traveled – Part I Enjoy!

78 year old male CC: Dizziness – Conclusion

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There were so many great comments on this case, including some great discussion on classifying wide complex tachycardias!

Special episode of the EMS Research podcast recorded live from EMS Today 2011

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In this special episode of the EMS Research podcast Tom Bouthillet and Tim Noonan (RogueMedic) interview Dave Hiltz (Heart Safe Community) and Lynn White (Heart Rescue Project) about best practices to optimize survival from sudden cardiac arrest. Download the full episode at the ProMed Network here.

78 year old male CC: Dizziness

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Out front you are met by the patient’s wife, who frantically directs you inside…

54 year old female CC: BLS intercept – Conclusion

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This is the conclusion to 54 year old female CC: BLS intercept. I did not expect to get so many comments! Great discussion on many points. It even afforded an opportunity to review atrioventricular blocks. Going back to the case let’s look at the initial 12-Lead ECG. As many readers noted, there is a lot […]

Second Degree or Third Degree Atrioventricular Block?

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Take another look at the rhythm strip from the current case study, “54 year old female CC: BLS Intercept”: As many readers have pointed out, there exists some level of atrioventricular block. The question then is, which one is it: is it a second degree AV block or a third degree AV block? In order […]

54 year old female CC: BLS intercept

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Tom, our Editor-in-Chief, and David, an Associate Editor, are gone on vacation. As a send-off, I am presenting the following case. I hope you enjoy it! It is just after 3am when you are called to intercept a BLS unit on scene with a 54 year old female with a low heart rate. Upon your […]

77 year old female CC: Chest pain – Conclusion

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This is the conclusion to 77 year old female CC: Chest pain. Thanks for all the great comments! You guys never disappoint. Let's take another look at the initial 12-lead ECG. Here is one of the serial 12-lead ECGs taken about 15 minutes later. It's subtle but there are clear changes in QRS, ST and […]

77 year old female CC: Chest pain

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EMS is called to a residence on a horse farm for a 77 year old female with chest pain. On arrival, the patient is found sitting on a wooden bench. She appears anxious and acutely ill. Skin is warm, flushed and diaphoretic. She is rubbing her chest. Onset: 20 minutes prior to 9-1-1 call Provoke: […]

Report: Aspirin Taken Daily With Fifth Of Bourbon Greatly Reduces Awareness Of Heart Attacks

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PHILADELPHIA- In a medical breakthrough that should come as welcome news for millions of at risk Americans, University of Pennsylvania cardiologists announced Tuesday that taking one aspirin tablet and a fifth of bourbon daily can “significantly reduce” an individual’s awareness of heart attacks. “This study represents a major victory in the fight against heart disease, […]

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