The most awesome STEMI test on the internet!

Entry Img

Sr. Editor Christopher Watford created an online STEMI test based on McCabe JM, et al. Physician Accuracy in Interpreting Potential ST-Segment Elevation Myocardial Infarction Electrocardiograms. J Am Heart Assoc. 2013; 2:e000268. The exam was in beta testing for a while (see this thread at EMTLife.com) but it’s ready for prime time! It was featured at the […]

Pit Crew / High Performance CPR – The Explicit Details

Entry Img

Here is a description of Hilton Head Island Fire Rescue’s Pit Crew / High Performance CPR process in bullet point form. It may help to think of it as a 4-phase process. Phase 1: Patient’s side to first shock Confirm pulselessness and announce “at patient, code blue” Start CPR (continuous chest compressions at the appropriate […]

Conclusion to Masters Case #02

Entry Img

This is the conclusion to Masters Case #02: 60 Year Old Female – Chest Pain, Hx of Pericarditis. If you haven’t already done so, check out the original post there.   Your patient was a 60yo F who experienced significant 8/10 chest pain that was now down to a 1 or 2 and presented with […]

Just a paced rhythm… Or is it? Conclusion

Entry Img

Ok, so I posted a 12 Lead ECG on Facebook this past Monday, June 2nd, 2014, which  generated some interesting comments and thoughts… EMS 12-Lead on Facebook: 67yom with Dyspnea and Diaphoresis  This ECG was obtained from a 67 year old male, complaining of difficulty breathing for the past 2 hours, and presented diaphoretic, with […]

Pulsus Paradoxus: Cardiovascular Function and Assessment

Entry Img

Cardiovascular Assessment: Pulsus Paradoxus Assessing cardiac function, blood pressure and hemodynamic status play an important role during our overall patient assessment and treatment. Although 12 lead ECG evaluation is an essential part of patient assessment, especially cardiac etiology, understanding basic cardiac function plays a major role during treatment and overall patient status. During normal hemodynamic […]

Understanding Atropine

Entry Img

As requested, during our previous Adenosine discussion, we will briefly review, Parasympathetic stimulation and Atropine pharmacodynamics on the heart. ACETYLCHOLINE (ACh) is one of the Neurotransmitters, a chemical signal, used by the Central Nervous System, which has many effects on the body, from stimulating muscle contraction, inducing peristalsis (digestion), Bile release by the liver, and […]

Masters Case #02: 60 Year Old Female – Chest Pain, Hx of Pericarditis

Entry Img

***Update: The conclusion for this case is now posted here.*** This is the second in our occasional series of Masters Cases. These are some of the toughest ECG’s we have seen and that is reflected in both the level of responses that are expected along with the depth of the discussions that will entail. For […]

Understanding Adenosine (Adenocard)

Entry Img

So, recently, I was involved in a conversation, where the topic of Adenosine administration came up. It seems like there is a misunderstanding regarding its use and mechanism of action. Although this is not our classic ECG interpretation topic, I believe its worth talking about for a bit. Adenosine, a Class V antiarrhythmic from the […]

76 year old male with chest pain and “peanut allergy” that turns out to be STEMI

Entry Img

EMS is dispatched to the residence of a 76 year old white male with a chief complaint of chest pain. Upon patient contact the patient is found sitting on his couch, alert and oriented to person, place, time and event with GCS of 15. The patient appears to be in no distress, advising he believes […]

Conclusion to Masters Case #01

Entry Img

I apologize for the giant delay and I know it’s a pain when these cases are so spread out. This is the conclusion to Masters Case #01; be sure to check out the original post first if you haven’t yet done so. This was a tough one and I didn’t take the decision to call these […]

Page 12 of 72« First...1011121314...203040...Last »