Author Archives: Tom Bouthillet

68 year old male CC: Chest Pain

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Here’s another great case submitted by Robert Bees. EMS is called in the very early morning to a 68 year old male complaining of chest pain and shortness of breath. On arrival, the patient is anxious and appears acutely ill. He is oriented to person, place, and time. Skin is cool, pale, and diaphoretic. The […]

Peter Canning is the Man! (was: Paramedics Get Special Cardiac Training)

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Here’s a great story from WSFB-TV Channel 3 Eyewitness News (Hartford-New Haven) featuring our very own Peter Canning from the Street Watch: Notes of a Paramedic blog! Watch as Peter calls in a “definite STEMI Alert” and activates the cath lab! Click HERE for the best quality video without commercials. Screen shots below.

Should you ever give a calcium channel blocker to a wide complex tachycardia?

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Some of you are probably wondering whether or not I’d ever condone giving a calcium channel blocker to a wide complex tachycardia in the field. A recent case submitted by Robert Bees demonstrates a situation where I might consider it (or at least not criticize someone for considering it). EMS is called to a 90 […]

The Prehospital 12-Lead ECG blog receives its first hate mail

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  I received an email today from a reader who ripped me a new one. Here’s the email with my replies interspersed. To Whom This May Concern, I stumbled upon this site while looking for additional information on poor r-wave progression. I happened to notice that in the wide-complex tachycardia section, there were some errors […]

72 year old male CC: "Unknown problem" – Conclusion

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Here is the conclusion to 72 year old male CC: Unknown problem (man down) Here was the initial 12-lead ECG.   Based on this ECG the lead paramedic called a "STEMI Alert" and transmitted the ECG to the receiving hospital. The on-duty ED physician received the ECG and the paramedic's radio report. The ED physician […]

Heart Safe Community PAD Program & STEMI Awareness Community Program Awards

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The International Association of Fire Chiefs is accepting nominations for the Heart Safe Community PAD Program & STEMI Awareness Community Program Awards. Follow the IAFC on Twitter. Become a fan on Facebook. Note: You do not have to be a fire-based EMS system to win one of these awards! 

64 yom CC: Chest Pain

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Here’s another great case submitted by a faithful reader who wishes to remain anonymous. The patient is a 64 year old male with a chief complaint of substernal chest pain. Onset: Sudden onset at rest. Provoke: Nothing makes the pain better or worse.Quality: Patient describes the pain as “sharp”.Radiate: Pain radiates to right arm.Severity: Patient […]

72 year old male CC: "Unknown problem"

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EMS is dispatched to a 72 year old male patient. Third party call. History of Parkinson's Disease. Patient is conscious. No further information. On arrival, EMS finds a 72 year old Spanish-speaking male. Through an interpreter the lead paramedic determines that the patient became dizzy, fell down, and hit his head. A small hematoma is […]

Modified Chest Leads (was: Modified Leads "On the Ice")

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Occasionally I receive emails from readers who ask various questions or submit interesting ECGs which I sometimes use as case studies on the Prehospital 12-Lead ECG blog. Back in November I received an email from a reader who wrote: Hello! I’m currently in Antarctica on a medical support contract. I was issued a 3-lead Lifepak […]

EMS Today – The JEMS Conference & Exhibition – March 2-6, 2010 – Baltimore Convention Center

I am now registered to attend EMS Today. Who else is going? *** Update 02/05/2010 *** I found out yesterday that Justin Schorr (The Happy Medic) and Mark Glencorse (999 Medic) will be attending the EMS Today Conference through the Chronicles of EMS project! The Happy Medic writes about it HERE. 999 Medic writes […]

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