ACS Defibrillator Document 
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.
ECG & Echo Learning
JANUARY 18, 2023
I B ECG monitoring should start immediately and a defibrillator must be ready. 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 , ST-segment elevation acute myocardial infarction ).
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Dr. Smith's ECG Blog
DECEMBER 31, 2024
But thankfully, when the clinical context is clearly and highly concerning for ongoing ischemia from ACS, this distinction doesn't matter much. The note documents that the first view of the LCX showed 99%, TIMI 2 flow, but then (before intervention) was seen to fully occlude in real time (100%, TIMI 0).
Dr. Smith's ECG Blog
MARCH 25, 2025
In ACS, chest pain is the warning sign of ongoing ischemia. Documentation indicates that the patient was shocked 4 times (with no comment on energy level) and received amiodarone 300 mg IV and magnesium 2 g IV. In this case, you should get a second defibrillator and perform double sequential external defibrillation (DSED).
Dr. Smith's ECG Blog
MARCH 8, 2025
Several 200 J shocks did not terminate the VF, so a second defibrillator was applied for double sequential defibrillation with 400 J. She was defibrillated perhaps 25 times. After completing the ACS algorithm with amiodarone and lidocaine, there are diminishing returns on further treatments. SanzRuiz, R., Solis, J., &
Dr. Smith's ECG Blog
DECEMBER 27, 2024
Documentation lists a diagnosis of "sinus tachycardia." After ruling out for ACS, the patient underwent angiography where he was found to have severe stable disease, which was already known. The current ECG shows sinus tachycardia with old inferior infarct. He was admitted to cardiology. Serial troponin was undetectable.
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