Dr. Smith's ECG Blog

OCTOBER 20, 2024

His wife contacted the ambulance service after the patient experienced an episode of loss of consciousness. The ST segment changes are compatible with severe subendocardial ischemia which can be caused by type I MI from ACS or potentially from type II MI (non-obstructive coronary artery disease with supply/demand mismatch).

Coronary 128

Coronary ACS Emergency Department Defibrillator 128

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

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. It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. CPR was initiated immediately.

ACS 52

ACS CPR CAD Heart Attack 52

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. He was defibrillated immediately and had return of normal mental status.

STEMI 52

STEMI Coronary ACS Defibrillator 52

ECG & Echo Learning

JANUARY 18, 2023

I B ECG monitoring should start immediately and a defibrillator must be ready. I B Ambulance personnel must be trained and equipped to identify STEMI and administer fibrinolysis if necessary. This page summarises the most current recommendations for the management of acute coronary syndromes with persistent ST-segment elevations (i.e

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