Category Archives:

Episode 3 of the Code STEMI Web Series – Dearborn, Michigan

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Click HERE See also: Episode 1: Rural STEMI sytem of care – Sioux Falls, SD Episode 2: Understanding STEMI from the ground, up – RACE Program, NC

50 year old male CC: Chest Pressure

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We hope you enjoy this case, as always some details have been changed to protect patient privacy. It's around 05:00 when the tones go off at your fire station for a medical response at a large apartment complex. You leave the bunkhouse with the engine crew and check enroute. Dispatch relays you are headed to […]

63 year old male CC: Shortness of breath – Conclusion

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This is the conclusion to 63 year old male CC: Shortness of breath. You may wish to go back and read the original post. Let's take another look at the 12-lead ECG. Now with the computerized interpretation. This ECG shows severe left ventricular hypertrophy with a "strain pattern" or secondary ST-T wave abnormality. A "strain […]

How much should an ear ache cost?

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Photo credit: Kelly Arashin I had a very relaxing and restorative trip up to northern Michigan last week with my family. The weather was perfect. There was sightseeing in national forests, campfires and s'mores, good wine, good stories, and some hard work constructing a drainage system on the side of my parents' log home on […]

It's not too late to help Lt. Matt McDowell and FF David Rice!

I wrote about this previously and I pledged $50.00 which I donated by using this link to Bluffton Township Fire District’s webpage, and I’m hoping you will consider doing the same. In case you didn’t know, Lt. Matt McDowell is the author of the S.A.F.E. Firefighter blog and his daughter Juliann will be born with […]

Synchronized cardioversion without sedation – Part II

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Rogue Medic responds to my recent post here: On the relative wisdom of synchronized cardioversion without sedation – Part I And here: On the relative wisdom of synchronized cardioversion without sedation – Part II In Part II, Scallywag Rogue Medic writes: “We are discussing the awake and alert patient with severe signs and symptoms related to a suspected […]

Help for a blogger!

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In case you didn’t know, Matt McDowell is the author of the S.A.F.E. Firefighter blog here at He’s a lieutenant with Bluffton Township Fire District (BTFD) which is just over the bridge from Hilton Head Island. While I don’t know “Jeebs” as well as I would like, we have many mutual friends and I […]

Welcome to the new and improved Prehospital 12-Lead ECG blog!

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Thanks for checking out the new digs! Take a look around and let me know what you think. Trouble-shooting the hyperlinks and formatting of the archives will be ongoing for the next couple of weeks. Be sure to check out the new case study submitted by Christopher Linke!

Change your bookmarks!

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I have gone to the dark side and joined the family! The new blog goes “live” at 12:00 p.m. EST tomorrow, August 19, 2010. The new URL is Here’s a sneak peak. Special thanks to Chris Hebert (Go Forward Media) for helping me sort through the technical issues involved. Please update your bookmarks […]

McLearning and 12-Lead ECG interpretation

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I’ve been giving a lot of thought lately to paramedic education and the problem of 12-lead ECG interpretation. Specifically, the reasons why paramedics aren’t taught to actually read a 12-lead ECG and are instead given a crash course in “STEMI recognition” which does not prepare the student to differentiate between the ST-elevation of acute STEMI […]

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