EMDocs

FEBRUARY 7, 2024

Increased risk in those with preexisting CKD, other risk factors for renal disease (HTN or CAD), and those on ACEIs/ARBs. The effects of GLP-1 agonists are associated with the dose. Higher doses of GLP-1 agonists are associated with weight loss. Take for example semaglutide. Ozempic is utilized for DM2 in doses of 0.5, mg SQ every week.

Allergic Reaction 97

Allergic Reaction ALS CAD OR 97

Dr. Smith's ECG Blog

JUNE 19, 2024

The ED provider ordered a coronary CT scan to assess the patient for CAD. in My Comment in the January 13, 2024 post in Dr. Smith's ECG Blog — in which I review the importance of considering filter settings when assessing if the rhythm in a given ECG is or is not paced? ). Another blood pressure was checked.

STEMI 60

STEMI Coronary CAD ED 60

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. The Queen of Hearts AI app will hopefully be FDA approved in Q1 of 2024. He was diagnosed as NSTEMI.

ACS 83

ACS Coronary ALS CAD 83

ESO

JULY 3, 2024

On May 6, 2024, version 1 of NERIS core data schema was released, including: Fire Department (Entity) Specification CAD/Dispatch schema Incident schema Since the upgrade was announced, ESO’s Fire Incidents team has been preparing and planning to ensure your team will be ready for the transition to NERIS. What to expect in Q3/24?

Mobile Integrated Health 52

Mobile Integrated Health MIH Critical Care Community Paramedicine 52

Dr. Smith's ECG Blog

JANUARY 20, 2024

Scattered other nonobstructive CAD. After that, it is $30 per month. == MY Comment , by K EN G RAUER, MD ( 1/20 /2024 ): == Today's unfortunate story reviews a case of deWinter T waves that was totally missed. When you register on the app, you need to say you are from a supported country in the EU. You will get 5 free reports.

STEMI 121

STEMI CAD ED ALS 121

Dr. Smith's ECG Blog

NOVEMBER 19, 2024

No prior similar symptoms or known CAD. He arrived at the ED just shy of two hours after onset, pain free. PMHX significant for hypertension and BPH. Family history significant for father with MI at age 56, lived to age 83. No acute infectious prodrome, known pulmonary disease, or recent trauma. I think the ECG is equivocal on this point.

OR 110

OR STEMI Coronary CAD 110

Dr. Smith's ECG Blog

DECEMBER 31, 2024

The procedure was described as very complex due to severe multivessel CAD, but ultimately PCI was successfully performed to the ostial LCX. One could argue or wonder if there is both subendocardial ischemia AND posterior OMI pattern, since the STD in V4 may be equal or possibly slightly worse proportionally than V6. Pre-intervention.

Coronary 119

Coronary ACS STEMI CAD 119

FirstWatch

FEBRUARY 10, 2025

With FirstWatch , we are able to provide the number of calls on each bill, but we also include the date and time, report number, CAD number, jurisdiction, and other details for the recipient to review. Despite its modest size, the fire departments dispatch center dispatched 79,715 calls in 2024, responding to 110,442 calls in that time.

CAD 83

CAD EMS OR 83

Dr. Smith's ECG Blog

JANUARY 21, 2025

It is a judgment call retrospectively, but to assume there is no ACS at presentation is very risky, especially in a patient with previously diagnosed severe CAD and poor LV function. This was attributed to a "Type 2 MI", which is acute MI that is not due to ruptured plaque, but rather due to "supply demand oxygen mismatch".

OR 62

OR Coronary STEMI ACS 62

Dr. Smith's ECG Blog

JANUARY 15, 2025

Case A 68 year old man with a medical history of hypertension, hyperlipidemia, and CAD with stent deployment in the RCA presented to the emergency department with chest pain. He looked back in time in the patient's chart and saw these ECGs and immediately recognized that they manifested subtle OMI. He had an EKG recorded right away.

Coronary 68

Coronary ED CAD Paramedic 68