Remove ACS Remove Ambulance Remove Paramedic
article thumbnail

Simulation Brain Wash

FOAMfrat

In one of my classes, I ask everyone what happens if you give nitro in a paramedic school scenario without obtaining a 12 lead first.? This may be something like arranging chairs to pretend you are now in a helicopter or ambulance or even expediting specific time intervals to speed up the simulation. Prehosp Emerg Care.

E-9-1-1 78
article thumbnail

LAD Occlusion Often Presents Without Reciprocal Changes

ECG Medical Training

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
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Spinal Immobilization or Spinal Motion Restriction: Which is Safest?

NCOAE

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
article thumbnail

Paramedics make a great call

Dr. Smith's ECG Blog

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.

article thumbnail

Syncope and Block

EMS 12-Lead

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. Attending crews then brought the stretcher close and further assisted him to a reclined position of comfort. Hospital transport was unremarkable.

Coronary 130
article thumbnail

Penetrating chest trauma

Don't Forget the Bubbles

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
article thumbnail

Normal ECG by many measures. Is it normal?

Dr. Smith's ECG Blog

Pretty impressive for someone who has not yet attended med school, or even been a nurse or paramedic yet. html ) Despite an undetectable troponin and three normal EKGs, the nature of the patients symptoms and his positive cardiac history warranted concern for ACS. This interpretation was confirmed by the overreading physician.