ESO

DECEMBER 18, 2024

After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). One of the biggest findings in the 2024 ESO EMS Index regarding bystander CPR rates is that they vary by background. Want to learn more?

Naloxone 52

Naloxone CPR Overdose Defibrillator 52

Dr. Smith's ECG Blog

JULY 25, 2024

He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. See these related cases: Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. This patient was witnessed by bystanders to collapse. They started CPR. EMS arrived and found him in Ventricular Fibrillation (VF).

Defibrillator 124

Defibrillator Coronary Epinephrine ACS 124

Dr. Smith's ECG Blog

JANUARY 2, 2025

Because she has cardiomyopathy and ventricular dysrhythmias, the pacer included an Implanted Cardioverter-Defibrillator (ICD) Echo 6 days later after CRT: Normal estimated left ventricular ejection fraction. The septum is punctured with the active fixation screw of the lead - so essentially you bore the septum with the screw helix."

Coronary 116

Coronary OR Defibrillator ALS 116

Dr. Smith's ECG Blog

SEPTEMBER 29, 2024

In other words: 1) infarct of the LAD territory (much of which could be old) and 2) inferior-posterior-lateral infarct. == MY Comment , by K EN G RAUER, MD ( 9/27 /2024 ): == I found today's case insightful for a number of reasons. See Discussion in the June 29, 2024 post of Dr. Smith' ECG Blog ). But because Dr.

STEMI 109

STEMI Coronary Defibrillator OR 109

Dr. Smith's ECG Blog

JULY 21, 2024

He required multiple defibrillations within a period of a few hours. This time, the arrhythmia did not spontaneously terminate — but rather degenerated to VFib, requiring defibrillation. Some episodes of PMVT would terminate spontaneously — but on many occasions, the PMVT degenerated to VFib, requiring defibrillation.

Defibrillator 131

Defibrillator Coronary ALS STEMI 131

Dr. Smith's ECG Blog

JUNE 14, 2024

. == MY Comment , by K EN G RAUER, MD ( 5/30 /2024 ): == I was not taught about artifact in medical school. But artifact is "alive and well" — and learning to recognize it will amaze many of your colleagues ( and may serve to avoid an unnecessary defibrillation or two ). The May 18, 2024 post — re the effect of baseline artifact.

Defibrillator 81

Defibrillator ALS Coronary OR 81

Dr. Smith's ECG Blog

OCTOBER 20, 2024

The arrhythmia spontaneously converted before defibrillation was achieved. Just prior to arrival he fell out of consciousness with the below ECG on the monitor. ECG #3 The above ECG shows a polymorphic VT at a rate of about 180 BPM.

Coronary 128

Coronary ACS Emergency Department Defibrillator 128

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

This episode self terminated before defibrillation was possible. For review of how Systematic 12-Lead ECG Interpretation not only increases accuracy, but also speeds you up — Please check out ECG Podcast #1 , wit h outline and link to my talk on this subject in the July 24, 2024 post in Dr. Smith's ECG Blog.

E-9-1-1 113

E-9-1-1 ALS Defibrillator OR 113

EMT Training Station

FEBRUARY 10, 2024

They learn to operate sophisticated life-saving tools, from defibrillators to advanced airway management devices. Access to Advanced Technology and Training EMTs work with some of the most advanced medical equipment and are continually training to stay abreast of the latest developments in emergency medical care. It's so great to meet you!

EMT 98

EMT EMT Emergency Medical Technician First Responder 98

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

After resuscitation and defibrillation , there were no more episodes of TdP. Below is the patient’s 12 lead ECG following defibrillation. Of note — the QT interval of beat #5 ( blue line ) is markedly prolonged compared to the QT interval in the beginning of the tracing ( red line ). What does this ECG tell you?

Defibrillator 67

Defibrillator Coronary OR ALS 67

EMT Training Station

FEBRUARY 11, 2024

This equipment ranges from basic first aid supplies to sophisticated devices like defibrillators, oxygen therapy units, and advanced airway management tools. Advanced Medical Capabilities EMS teams are equipped with advanced medical equipment, enabling them to handle a wide variety of emergencies. It's so great to meet you!

EMT 98

EMT EMT Emergency Medical Technician Emergency Medical Services 98

Dr. Smith's ECG Blog

JANUARY 23, 2024

She was given CRT-D (Cardiac Resynchronization Therapy-Defibrillator). The biopsy was consistent with cardiac sarcoidosis. Medical treatment with oral steroids and methotrexate was started. The ECG below was recorded after her device was implanted. The ECG shows atrial sensing and biventricular paced rhythm.

Coronary 107

Coronary OR Defibrillator ALS 107

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

But because Dr. Mastoras recognized the hyperacute T waves, the patient was immediately seen, the polymorphic VT was immediately defibrillated, and the patient was rapidly diagnosed and treated. Without clinical context, the Queen of Hearts identified OMI with high confidence, based on the hyperacute waves.

OR 66

OR STEMI ACS Coronary 66

Dr. Smith's ECG Blog

JANUARY 15, 2024

The scale is wrong. == MY Comment , by K EN G RAUER, MD ( 1/14/ 2024 ): == I was not taught about artifact in either medical school or during my residency. Rhythm C: This telemetry strip from an older adult was initially thought to need defibrillation.

Critical Care 64

Critical Care Defibrillator OR ALS 64

Dr. Smith's ECG Blog

DECEMBER 31, 2024

Soon after the witnessed occlusion, the patient suffered ventricular fibrillation arrest, from which he was immediately resuscitated with 1 defibrillation. This ECG is taken from the July 25, 2024 post in Dr. Smith's ECG Blog. It was noted that the other vessels may require later staged PCI and intravascular lithotripsy.

Coronary 118

Coronary ACS STEMI CAD 118

Core EM

MARCH 5, 2025

In pregnancy, treatment should be started immediately after birth for both the mother and infant Despite being the standard of care, as of 2024, benznidazole is only FDA approved for pediatric use in patients ages 2-12 years. Retrieved June 25, 2024 from [link] Meymandi, S., Retrieved June 22, 2024, from [link] Neeki, M.

Defibrillator 130

Defibrillator Blood Donation OR Emergency Department 130

Dr. Smith's ECG Blog

DECEMBER 27, 2024

The submitter started the patient on amiodarone and arranged implantation of a defibrillator. == MY Comment , by K EN G RAUER, MD ( 12/27 /2024 ): == Superb discussion by Dr. Frick in today's case, that highlights a series of important points regarding the ECG recognition of stable VT ( V entricular T achycardia ).

Coronary 121

Coronary Defibrillator ACS ED 121

Dr. Smith's ECG Blog

DECEMBER 20, 2024

This is the shock coil and identifies this device as a defibrillator. CRT-D is cardiac resynchronization therapy with defibrillation capability, like the CXR above. CRT-P is cardiac resynchronization therapy with pacing only, without the ability to defibrillate. Specifically, it overlies a thicker radiopaque segment.

Defibrillator 102

Defibrillator Coronary ALS Emergency Department 102

Dr. Smith's ECG Blog

NOVEMBER 29, 2024

Throughout this process, the patient had repeated VF and was defibrillated 8 times. After aspiration thrombectomy, the patient received intracoronary alteplase without significant improvement in flow or thrombus burden. Prolonged thrombectomy effort was unsuccessful. Post PCI angiogram is shown below.

Defibrillator 66

Defibrillator STEMI Coronary ED 66