Tag Archives: ems12lead.com

66 year old male CC: Chest pain – Conclusion with Angiograms

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Here is the conclusion to 66 year old male CC: Chest pain. The patient was fast-tracked to the cardiac cath lab. D2B of 62 minutes. E2B of 78 minutes! RCA is normal LAD (before) – 100% occlusion LAD (before) – 100% occlusion LAD (after) LAD (after) LAD (after) LAD (after)

66 year old male CC: Chest pain

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EMS is called to the parking lot of a local fast food restaurant for a 66 year old male complaining of chest pain. On arrival, the patient appears acutely ill. His skin is pale/ashen but dry. He is rubbing his chest and there is a grimace on his face. He is not conversant but he […]

54 year old male CC: Chest pain

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EMS is called to the doctor’s office to evaluate a 54 year old male complaining of chest pain. On arrival, the patient is alert and oriented to person, place, time, and event. However, he is anxious and his skin is pale and diaphoretic. He is on oxygen via NC @ 4 LPM. An IV has […]

Highlights from the South Carolina Heart Care Alliance Conference

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I attended the SC Heart Care Alliance Conference on December 1 (you can see the brochure HERE). Tammy Gregory, Director of Quality and Health IT for the American Heart Association gave an interesting presentation about Mission: Lifeline (which you can download HERE). I enjoyed the maps showing: The areas in the United States covered by […]

Hospitals will get heart data via Bluetooth

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Photo credit: flickr Florida Today is reporting that Brevard County Fire-Rescue has received a substantial grant from the Florida Department of Health for ECG transmission. Brevard County Fire-Rescue is implementing Bluetooth technology to transmit electrocardiogram readings from cardiac patients in the field to hospitals so doctors are better prepared to treat them. In about three […]

A picture is worth a thousand words

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Found on the wall during an interfacility transport.

No advantage seen with IV drugs in out-of-hospital cardiac arrest

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Heartwire is reporting a review of Olasveengen TM, Sunde K, Brunborg C, et al. Intravenous drug administration during out-of-hospital cardiac arrest: a randomized trial. JAMA 2009; 302:2222-2229. Some highlights: “[A] large randomized trial found that giving IV drugs like epinephrine and atropine in the setting of out-of-hospital cardiac arrest made it more likely that patients […]

CBS Exclusive: Back From the Dead

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56-Year-Old Man Brought Back To Life After 47 Minutes, 4,500 Chest Compressions And 8 Zaps With Defibrillator. Click HERE for this amazing story with video. “A specific procedure helped save Tiralosi’s life. Special cooling pads, not available in all emergency rooms, lowered his body temperature to 91 degrees, essential in preventing long-term neurological damage and […]

How to Establish a Multi Hospital STEMI Transfer System

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Here are some links to an excellent webcast from the D2B Alliance website. It’s the “D2B Sustain the Gain” October seminar entitled “How to Establish a Multi Hospital STEMI Transfer System”. You can download the slides in .pdf format HERE. You can listen to the presentation HERE. I found one part of the webcast to […]

39 year old CC: Syncope while playing tennis

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EMS is called to a tennis club to assess a 39 year old male who experienced a syncopal episode while playing tennis. On arrival, the patient is lying down on the ground next to a bench. He appears lethargic and pale. Bystanders are laying ice cold towels around his head and chest and tell you […]

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