Author Archives: Ivan Rios

Ivan is a Cardiology and Electrophysiology enthusiast from Orlando, Fl. He is a Critical Care Paramedic and Paramedic Instructor at First Response Training Group in Orlando Fl. He is an editor for the worldwide know sites, and its relate Facebook blogs and ECG & Cardiology blogspot. He has a great passion for Emergency Medicine and music, as an Acoustic Singer/Songwriter artist, know as Ivan J. Nash, by his local following.


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  It’s a sunny morning, and your EMS unit is dispatched to a residence for an 87 year old male with difficulty breathing.   You arrive on scene before the fire engine and enter the residence. Upon entering the bedroom, you find an elderly male, sitting on the edge of the bed, vomiting. He is alert and oriented x 4 (person, […]

Pulmonary Pressures and ECG Patterns

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Ok, so we understand the basics of our Cardiopulmonary System for the most part, at least most of us reading this. But, if you don’t, DON’T WORRY, we can break it down in a few simple steps… Here we  go!!! The Right Ventricle (RV) pumps blood to the lungs via the Main Pulmonary Artery Trunk which […]

Understanding Digoxin

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 Most of us have heard of, or encountered a patient taking Digoxin at some point in our careers. But, do we understand what it is and how it affects our patient?  Digoxin (Lanoxin), is a Cardiac Glycoside, derived from the foxglove plant, Digitalis. Although not as common as it was in the past, this medication […]

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