Dr. Smith's ECG Blog
NOVEMBER 15, 2023
She was brought in by ambulance and received aspirin and nitroglycerin en route. Angiogram No obstructive epicardial coronary artery disease Cannot exclude non-ACS causes of troponin elevation including coronary vasospasm, stress cardiomyopathy, microvascular disease, etc. This originally radiated into her left arm. References: 1.
FOAMfrat
APRIL 22, 2024
While one may argue that nitro really has no mortality benefit in ACS, I have seen patients with CHF present with hyper tension and inferior S-T elevation, in which the providers were scared to even look at the bottle of nitro. References Kimbrell J, Kreinbrook J, Poke D, Kalosza B, Geldner J, Shekhar AC, Miele A, Bouthillet T, Vega J.
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Dr. Smith's ECG Blog
DECEMBER 19, 2023
The ambulance report says "BP continued to drop during transport and pt remained cold and clammy." The 3 most common causes of ACS ( A cute C oronary S yndrome ) wit hout evidence of obstructive coronary disease on cath are: i ) Myocarditis ( up to 1/3 of these patients ); ii ) Takotsubo cardiomyopathy; and , iii ) MINOCA.
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.
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.
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.
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.
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