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False Positive Cardiac Cath Lab Activations

Here are some highlights from Larson, Menssen, Sharkey et al False-Positive” Cardiac Catheterization Laboratory Activation Among Patients With Suspected ST-Segment Elevation Myocardial Infarction. JAMA 2007;298(23):2754-2760. The false positive rates (suspected STEMI patients with ST-segment elevation but no clear culprit coronary artery, no significant coronary artery disease, and negative cardiac biomarker results) were analyzed at the Minneapolis […]

Are You Up for the E2B Challenge?

In the October 2008 issue of Emergency Medical Services, our very good friend Ivan Rokos, MD made some comments that are worth repeating. “[P]aramedics are now in a novel role, where they are able to diagnose STEMI faster and earlier than ever before using a prehospital EKG machine. This is important for two reasons: One […]

People actually do read my blog!

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A few days ago, I added a statcounter to the Prehospital 12 Lead ECG blog. At the time, only two people had left a comment, so for all I knew, that was my entire readership! From the very beginning I’ve said that I would start with a tutorial on axis determination, and then possibly continue […]

E2B Challenge at EMS Expo 2008

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*** Preserved for historical purposes only. *** Are you going to EMS Expo 2008 in Las Vegas October 13-17? If so, please attend “EMS and STEMI: The Evolution of a Major Paradigm Shift” on Thursday, October 16, at 3:00 p.m. It will be presented by Ivan Rokos, MD, FACEP. Dr. Rokos had done a terrific […]


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*** Preserved for historical purposes only. *** Greetings! Welcome to the Prehospital 12 Lead ECG blog. My name is Tom Bouthillet. I’m a Fire Lieutenant / Paramedic with the Town of Hilton Head Island, Fire & Rescue Division. I’m an Advanced Cardiac Life Support Instructor and I’ve taught the management of Acute Coronary Syndromes and […]

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