The Calm Before the Storm! #EMSToday2015

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In case you haven’t heard the good folks at PennWell and JEMS have selected yours truly as the Official Blogger of EMS Today 2015. The #EMSToday2015 hashtag is already buzzing! My wife Kelly @barefootNurse24 and I @tbouthillet flew into Baltimore yesterday and it was fun to follow our international colleagues gearing up for the JEMS Games! Here we have Hayden […]

The 12 Leads of Christmas: V3

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This is the eleventh and penultimate article in our latest series, The 12 Leads of Christmas, where each day we examine an individual electrocardiographic lead. Lead V3 Today we’re going to discuss V3, and there’s no way I can do that without talking about isolated posterior myocardial infarction. Of all twelve, fifteen, eighteen, or even […]

Adenosine for sinus tachycardia: Try to avoid this!

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This is the feedback I gave the student on this case. (Recall that this was a young adult male who presented with dyspnea, chest pain, as well as pre-syncope, whose initial ECG showed a brisk tachycardia which went up to the 170s at points): Bottom line: “As you point out, this was sinus tachycardia. When […]

The first iPad mini goes to . . . #EMSToday2015

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Well, apparently at least one of you registered for EMS Today 2015 using promo code EMS12LEAD during checkout. How do I know this? Because I was recently notified by our friends at PennWell that the first drawing for an iPad Mini is complete! The winner is . . . Steven Caho! Congratulations, Steven! If you’re reading this […]

Adenosine given for a narrow-complex tachycardia over 150

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This case comes to me from a paramedic trainee. Many elements have been altered to preserve anonymity. In the following, the narrative from the run-form is interspersed with questions that I put to the student afterwards. I was trying to draw out how a student understood the evaluation and management of tachyarrhythmias. But I don’t […]

The 12 Leads of Christmas: V2

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This article is the tenth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V2 I love V2. It’s probably been my favorite lead to examine and ponder this past year. The cool thing is that it doesn’t seem all […]

The 12 Leads of Christmas: V5

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This article is the ninth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V5 We’re getting into the home-stretch in our little series. I wasn’t entirely sure if we were going to make it through since a few of […]

The 12 Leads of Christmas: V4

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This article is the eighth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V4 Like aVF, V4 is a tough lead to discuss on its own. It’s part of the natural flow of the complexes across the precordium and […]

The 12 Leads of Christmas: V1

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This article is the seventh in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V1 Happy New Year everyone! Today’s post is going to be a bit of a hodge-podge as I recover from yesterday’s post on ST-elevation in aVR. […]

The 12 Leads of Christmas: aVR

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This article is the fifth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead aVR I have a love-hate relationship with aVR. There is one big question that always looms around it: Is ST-elevation in aVR a STEMI-equivalent? Like most […]

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