Tag Archives: ems12lead.com

"New" LBBB – What's the big deal?

In the January 2010 EMCast at EMedHome.com, Amal Mattu MD reviews Chang AM, Shofer FS, Tabas JA, et al. Lack of association between left bundle-branch block and acute myocardial infarction in symptomatic ED patients. Am J Emerg Med 2009;27:916-921. His comments confirm what I have suspected for a long time with regard to LBBB in […]

Heart Matters podcast from ReachMD discussing the ACC/AHA Focused Update for STEMI and PCI

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You can find some interesting things when you search Twitter! I found a tweet from ACCinTouch that led me to this Heart Matters podcast from ReachMD. It’s an interview with Judith Hochman, M.D. with regard to the new ACC/AHA Focused Update for STEMI and PCI. Registration is quick and easy. It discusses the AHA’s Mission: […]

Sgarbossa's Criteria – New Graphic

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Here is a graphic I created to help explain Sgarbossa’s criteria for identifying acute myocardial infarction (AMI) in the presence of left bundle branch block (LBBB) or paced rhythm. In a previous article I showed this graphic which was created using PowerPoint. Here is a similar graphic I created this morning by cropping actual ECGs […]

94 year old female CC: Chest Pain

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Here is an interesting case submitted by Billy Eskridge. EMS is called to an assisted living facility to evaluate a 94 year old female complaining of chest pain. History of present illness: Approximately 1 hour prior to EMS arrival, the patient had complained of a headache. A nurse gave the patient a Lortab. About 15 […]

Rhythm Challenge #1

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What’s the heart rhythm? *** Update 12/28/09 *** Hint: These are certainly atrial complexes (blue arrows) but are they P-waves?

Review of Factors Associated With False-Positive Emergency Medical Services Triage for Percutaneous Coronary Intervention

I found an interesting article while surfing the internet this morning. Yamamoto Swan, Pamela BA, Nighswonger, Beverly RN, Boswell, Gregory L RN, & Stratton, Samuel J. MD, MPH. (2009). Factors Associated With False-Positive Emergency Medical Services Triage for Percutaneous Coronary Intervention. Western Journal of Emergency Medicine, 10(4), This is a retrospective analysis of 12-lead cases […]

57 year old male CC: Chest pain

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Here’s a very interesting case submitted by FF/medic Tim Porter (c/o a faithful reader). The patient is a 56 year old male with a chief complaint of chest pain. Onset: Approximately 30 minutes prior to EMS arrival Provoke: Nothing makes the pain better or worse Quality: Described as intense pressure Radiate: The pain does not […]

Scientist shocked by ICD at Copenhagen summit

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http://www.liveleak.com/view?i=4a3_1260843814 Henrik Svensmark is a 51 year old physicist who works for the Danish National Space Center located in Copenhagen, Denmark. According to rightpundits.com, he is “one of the few scientific voices in the global warming debate who has actually done real research on the topic. His research has turned the global warming debate upside […]

77 year old male CC: Palpitations

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EMS is called to the residence of a 77 year old male complaining of palpitations. Upon arrival, paramedics find the patient lying in bed. He is awake but lethargic. He is oriented to person, place, and time. The patient’s skin is cool, pale, and diaphoretic. He admits to chest discomfort and mild shortness of breath. […]

STEMI Alert Protocol – Training PowerPoint

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This content is no longer available. See our comprehensive video-based 12-lead ECG course at ECG Medical Training.

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