Tag Archives: Tom Bouthillet

88 year old male CC: Chest pain – Conclusion

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This is the conclusion to 88 year old male CC: Chest pain. You may wish to go back and review the history and clinical presentation. First, let's look at the rhythm strip. This shows an undetermined regular rhythm at a rate of about 60 with demand ventricular pacing.  This is an oversimplification but as long […]

88 year old male CC: Chest pain

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EMS is called to a 88 year old male with a chief complaint of chest discomfort. On arrival the patient meets EMS at the front door. His skin is slightly pale and moist. He appears anxious. Past medical history: "Cardiac", pacemaker, hypertension, dyslipidemia Medications: Numerous, unavailable at the time of EMS evaluation Paramedics lead the […]

Wednesday Missive: On Innovation and Gratitude

As most of you know by now, "Team EMS-12 Lead" had a lot to celebrate at the EMS Today conference in Baltimore. Tom Bouthillet received his well deserved EMS 10 award, and his Code STEMI Web Series premiered as well. Lots of great stuff going on! The premier of Code STEMI happening the same time […]

Update from EMS Today 2012

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Photo credit: Kelly Arashin "Team EMS-12 Lead" (Christopher Watford, Tom Bouthillet and David Baumrind) at the EMS 10 Awards It's been an amazing week at EMS Today 2012! As you probably already know (if you've been following our Facebook page) I won an EMS 10 Award on Wednesday night. I was nominated by our good friend […]

Premier episode of Code STEMI Web Series to debut at EMS Today 2012

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Heading to EMS Today 2012? Then we have an announcement for you! Episode 1 of the Code STEMI Web Series will released at EMS Today 2012 in Baltimore! This is the rural episode that features the emerging system of care in South Dakota and the work of AHA Mission: Lifeline. It includes EMTs, paramedics, nurses, […]

Why we need health care reform

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Image credit: whitehouse.gov I went to the emergency department with a kidney stone yesterday. Here's the estimate I was provided at discharge. ER Level 4: $4,631.94  Insurance contractual discount: -$4,154.03 Adjusted estimated charges: $477.91 Estimated insurance responsibility: -$257.33 Patient co-pay: $125.00 Patient applied co-insurance: $95.58 Estimated patient responsibility: $220.58 So, I paid $220.58 on my […]

AHA changes acceptable time to primary PCI from 90 to 120 minutes for acute STEMI

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Thanks to Ivan Rokos, M.D. for pointing out an important change in the 2011 ACCF/AHA/SCAI Guidelines for Percutaneous Coronary Intervention. Photo credit: Code STEMI Web Series at First Responders Network For years now many have complained about the AHA's official recommendation that primary PCI for acute STEMI be accomplished within 90 minutes of first medical […]

90 year old male CC: "Possible stroke" – Conclusion

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This is the conclusion to 90 year old male CC: "Possible stroke". You might want to go back and familiarize yourself with the details of the case. Let's take another look at the 12-lead ECG. Now with the computerized interpretive algorithm. On Facebook I had asked whether or not this ECG showed signs of ischemia. […]

90 year old male CC: "Possible stroke"

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EMS responds to a 90 year old male with a "possible stroke". On arrival the patient is found sitting on the toilet (lid down). His spouse states that he had walked outside to retrieve the newpaper when he lost his balance and skinned his knee. She helped him inside and sat him down on the […]

Code STEMI Web Series – EMS 12-Lead Podcast Episode #6

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EMS 12-Lead podcast – Episode #6 – Code STEMI Web Series (Special Episode) As you probably already know if you've been following EMS 12-Lead or First Responders Network on Twitter or Facebook, we're working on a new web series called Code STEMI. We just got back from AHA Scientific Sessions 2011 in Orlando which was […]

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