Category Archives:

Regionalization in EMS (End-of-year column at EMS1.com)

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My “End-of-Year” column is up at EMS1.com. Trends in 2010: Regionalization in EMS Enjoy!

Unconscious late 50s male with bizarre wide complex rhythm and ICD – Part 2

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Here is the conclusion to 58 year old male CC: Unconscious. This was an unusual case with an unfortunate outcome. Let’s look at the heart rhythm again.

Unconscious late 50s male with bizarre wide complex rhythm and ICD – Part 1

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EMS is called to the residence of a late 50s male who was found unconscious at the bottom of the stairs by the spouse. The patient responds to painful stimuli with a grimace. Past medical history and medications Past medical history: MI, pacemaker/ICD, renal insufficiency Medications: Numerous – unable to locate at the time of […]

Appropriate Cardiac Cath Lab Activation: Optimizing ECG interpretation and clinical decision making for acute STEMI

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An important and useful article has been published that deserves our attention. Rokos IC, French WJ, Mattu A, Nichol G, Farkouh ME, Reiffel J, Stone GW (December 2010). “Appropriate Cardiac Cath Lab activation: Optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction“. Am Heart J 160 (6): 995–1003.e8 Here are some comments from […]

41 year old female CC: Chest pain

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Here’s a case submitted by Bob Sullivan from New Castle County EMS. EMS is called to the residence of a 41 year old female with chest pain. Onset: Sudden while sweeping the floor Provoke: Nothing makes the pain better or worse Quality: Tightness Radiate: The pain does not radiate Severity: 8/10 Time: 20 minutes prior […]

Holiday Heart at 510 Medic

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I’m not sure if I ever formally recommended the 510Medic blog authored by Patrick Lickiss at 510Medic.com, but he’s been in my blogroll for some time now. He’s also one of the contributors to the burgeoning EMS Research podcast. It’s an excellent EMS blog that deserves to be followed and read, so please check him […]

76 year old male CC: "Possible MI"

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Call is received into control via 999 from a General Practitioners Surgery. Call is received as 76 year old male with possible MI.

Early Bird Gets the Worm – Conclusion

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The conclusion to the November 2010 EMS 12-Lead column Early Bird Gets the Worm is now posted at EMS1.com. Early Bird Gets the Worm: Patient Follow-Up You can become a fan of EMS1.com on Facebook by clicking HERE.

73 year old female CC: Chest pain – Conclusion with angiograms

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Here is the conclusion to 73 year old female CC: Chest pain. I’m sorry the conclusion to this case took so long. Due to a clerical error I received a duplicate case. Let’s take another look at the 12-lead ECG. The patient was emergently cathed and a partially occlusive thrombotic lesion was identified in the […]

Jamie Davis, Peter Canning, and Tom Bouthillet discuss waveform capnography on the Innovations in Patient Care podcast

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Innovations in Patient Care podcast sponsored by Physio-Control. Jamie Davis, Peter Canning, and Tom Bouthillet discuss waveform capnography. Part I Part II Subscribe to the Innovations in Patient Care podcast on iTunes here.

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