ECG Medical Training

AUGUST 21, 2016

Assuming the patient has signs and symptoms of ACS, this should be an easy diagnosis. If you’re a paramedic, by obtaining a 12-lead ECG with the first set of vital signs , and not waiting until the patient is in the back of the ambulance, it gives you “another bite at the apple” before you leave the scene.

STEMI 52

STEMI ACS Ambulance Paramedic 52

Don't Forget the Bubbles

JUNE 30, 2023

Grabbing a pristine white table napkin to apply pressure to the wound, Ranulf’s class teacher and expedition leader called the ambulance as chaos descended on the restaurant. Tarquin screamed and pulled the knife straight back out, but blood started to spurt from the decent-sized incision he had accidentally made. The trauma call goes out.

E-9-1-1 139

E-9-1-1 FFP Plasma Emergency Department 139

Dr. Smith's ECG Blog

NOVEMBER 2, 2015

Serial ECGs demonstrated dynamic changes diagnostic of ACS (transient STEMI) 4. Even after STEMI (if reperfused, with small amount of myocardium infarcted), and even when the ECG is diagnostic of ACS (as it was the next day), the simultaneous echocardiogram may be normal. Learning Points 1. This was diagnosed as a NonSTEMI.

Paramedic 52

Paramedic STEMI ACS Ambulance 52

EMDocs

AUGUST 31, 2023

On follow-up 1 week later, the patient was doing well, ambulating and playing without significant discomfort. link] Li Z, Krippendorff BF, Sharma S, Walz AC, Lavé T, Shah DK. Following this second dose, the firmness and swelling of the leg improved, and the patient had an otherwise uneventful hospital course. Accessed August 17, 2023.

Allergic Reaction 97

Allergic Reaction Plasma ALS EMS 97

Dr. Smith's ECG Blog

OCTOBER 10, 2022

He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. CPR was initiated immediately. It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation.

ACS 52

ACS CPR CAD Heart Attack 52

NCOAE

DECEMBER 11, 2023

However, while LSBs have historically been used to attempt spinal immobilization, SMR may be achieved using a scoop stretcher, vacuum splint, ambulance cot, or other similar device to which a patient is safely secured. Both terms refer to the same concept — minimizing unwanted movement of the potentially injured spine.

OR 52

OR Emergency Medical Technician Emergency Department Emergency Medical Services 52

EMT Training Station

FEBRUARY 11, 2024

Assessing the Severity The severity of an electrical burn depends on several factors: the type of current (AC or DC), voltage, the pathway of the current through the body, the duration of contact, and the victim’s overall health. As EMTs, we’re always prepared to address these life-threatening complications alongside the burns.

EMT 98

EMT EMT Emergency Medical Technician First Aid 98

Dr. Smith's ECG Blog

SEPTEMBER 20, 2018

One must always be careful when looking for "baseline" ECGs, because the prior ECG on file may have been during another ACS event, as this one clearly was. In the ambulance during transport, the patient suddenly suffered VF arrest. Cath lab activation was cancelled but the transfer was accepted for urgent cardiology evaluation.

STEMI 52

STEMI Coronary ACS Defibrillator 52

ACEP Now

FEBRUARY 11, 2024

Patient C, a 27-year-old female with a history of epilepsy, taking valproate and endorsing adherence, is then brought in by ambulance for a witnessed seizure. ACS chemical neuroscience molecule spotlight on Contrave. ACS Chem Neurosci. This is her first seizure in six years. Accessed January 11, 2024. 2011;2(9):484-486.

Overdose 52

Overdose ACS Plasma ALS 52

Dr. Smith's ECG Blog

APRIL 20, 2018

The nitro she took in the ambulance did not help. Patients like her are the reason we are advocating for a change in the ACS paradigm from STEMI to OMI. While she was in her bed at home, she had sudden onset of left sided chest pain that radiated to her shoulder. The pain was pleuritic, without nausea or diaphoresis.

Coronary 40

Coronary STEMI EMS ACS 40

ECG & Echo Learning

JANUARY 18, 2023

I B Ambulance personnel must be trained and equipped to identify STEMI and administer fibrinolysis if necessary. I C Glucose-lowering therapy should be considered in ACS patients with glucose levels >10 mmol/L (>180 mg/dL), while episodes of hypoglycaemia (defined as glucose levels <_3.9

STEMI 40

STEMI Coronary OR Defibrillator 40

Dr. Smith's ECG Blog

DECEMBER 27, 2024

After ruling out for ACS, the patient underwent angiography where he was found to have severe stable disease, which was already known. The patient was then sent to the ED for evaluation not by ambulance but driven to the ED by his wife. This would be approximately 95% of the patient's maximum predicted sinus rate.

Coronary 121

Coronary Defibrillator ACS ED 121

Dr. Smith's ECG Blog

JANUARY 15, 2025

html ) Despite an undetectable troponin and three normal EKGs, the nature of the patients symptoms and his positive cardiac history warranted concern for ACS. As such, the patient was placed on a heparin drip and transferred by ambulance to a cardiac cath-capable facility.

Coronary 68

Coronary ED CAD Paramedic 68