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CBS Exclusive: Back From the Dead

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56-Year-Old Man Brought Back To Life After 47 Minutes, 4,500 Chest Compressions And 8 Zaps With Defibrillator. Click HERE for this amazing story with video. “A specific procedure helped save Tiralosi’s life. Special cooling pads, not available in all emergency rooms, lowered his body temperature to 91 degrees, essential in preventing long-term neurological damage and […]

How to Establish a Multi Hospital STEMI Transfer System

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Here are some links to an excellent webcast from the D2B Alliance website. It’s the “D2B Sustain the Gain” October seminar entitled “How to Establish a Multi Hospital STEMI Transfer System”. You can download the slides in .pdf format HERE. You can listen to the presentation HERE. I found one part of the webcast to […]

39 year old CC: Syncope while playing tennis

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EMS is called to a tennis club to assess a 39 year old male who experienced a syncopal episode while playing tennis. On arrival, the patient is lying down on the ground next to a bench. He appears lethargic and pale. Bystanders are laying ice cold towels around his head and chest and tell you […]

82 year old female CC: "Flu-like" symptoms

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EMS is called to the residence of a 82 year old female complaining of “flu-like” symptoms, including vomiting x 4-5 hours. On arrival, the patient is found sitting on her bed alert and oriented to person, place, time, and event. The patient’s skin is pale but warm and dry. Past medical history: Breast CA, double […]

65 year old male CC: Cardiac arrest on the tennis court

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65 year old male collapses while playing tennis. The scene is less than 1 minute from the fire station. On arrival, bystanders are providing rescue breaths but no chest compressions. Medical history is unknown. Initial rhythm: First shock: Return of spontaneous circulation (ROSC) noted. Rhythm strip: 12 lead ECG: The patient is still unconscious. LMA […]

81 year old female CC: ICD shocks x6

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EMS responds to a 81 year old female who was implanted with “a pacemaker” 2 weeks ago. She complains that the device has shocked her 6 times. On arrival the patient is found sitting in a chair. She is anxious but alert and oriented to person, place, time and event. Vital signs: Resp: 18 Pulse: […]

Found on the Lifenet Receiving Station

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Is there anything about this ECG (other than the poor data quality) that interests you? The patient was a 90 year old male, fall with injury. Also complaining of pain between the shoulder blades. *** UPDATE *** This ECG caught my eye because it satisfies one of Sgarbossa’s criteria for the identification of AMI in […]

65 year old female CC: Chest pain

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EMS is called to a hotel for a 65 year old female complaining of chest pain. On arrival, the patient is found sitting on the edge of the bed in her hotel room. She is alert and oriented to person, place, and time. Her skin is pink, warm, and dry. Onset: 30 minutes ago while […]

Update to: 78 yom CC: "Chest heaviness"

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Lots of interesting comments on this case. Here is the update. I opted to treat this patient as a presumed monomorphic ventricular tachycardia which is hemodynamically stable. I placed an 18 ga catheter in his left AC at a TKO rate. At approximately 1005 I administered 130mg (1.5mg/kg) of Lidocaine slow IV push which had […]

Left anterior fascicular block (LAFB)

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A reader by the name of Jesse contacted me and wrote: I have a question. I’m trying to learn more about fasicular and hemi blocks. I was curious if you have posted, or intend to post, any information regarding these. I understand this is all done on your free time, so no rush at all. […]

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