ACS Defibrillator Information 
Dr. Smith's ECG Blog
OCTOBER 4, 2010
He was resuscitated with chest compressions and defibrillation and 1 mg of epinephrine. ACS would be highly unusual in a young athlete, and given the information on his race bib, one must first suspect that the abnormal ST elevation is due to demand ischemia, not ACS. His initial ECG is shown here.
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. It helps in making informed decisions for the next steps in treatment.
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Dr. Smith's ECG Blog
SEPTEMBER 21, 2020
I was texted these ECGs by a recent residency graduate after they had all been recorded, along with the following clinical information: A 50-something with no cardiac history, but with h/o Diabetes, was doing physical work when he collapsed. He was treated medically for ACS and did not get an angiogram within 72 hours.
Dr. Smith's ECG Blog
JANUARY 23, 2023
Recall that, in the setting of ACS symptoms, ST depression that are maximal in leads V1-V4 (as opposed to V5 and V6) not attributable to an abnormal QRS complex is specific for OMI. When the ICD was finally interrogated, the syncopal events and shocks correlated with two VF events that were defibrillated successfully. ng/mL (ULN 0.04).
Dr. Smith's ECG Blog
NOVEMBER 30, 2022
The fire department, who operate at an EMT level in this municipality, arrived before us and administered 324 mg of baby aspirin to the patient due to concern for ACS. She was defibrillated and resuscitated. Optical coherence tomography, due to its high resolution, may provide additional information [ 10,13 ]. References: 1.
Dr. Smith's ECG Blog
SEPTEMBER 3, 2023
This is diagnostic of ACS; it appears to be a reperfused acute inferior OMI. I sent it to 5 of my OMI friends without any clinical information or outcome and all 5 independently responded with exactly the same diagnosis: "reperfused inferior OMI". There is ischemic ST depression in V4-V6. Resuscitative attempts were initiated quickly.
Dr. Smith's ECG Blog
OCTOBER 10, 2022
It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. If this is ACS with Aslanger's pattern , the ST depression vector of subendocardial ischemia (due to simultaneous 3 vessel or left main ACS) is directed toward lead II (inferior and lateral). CPR was initiated immediately.
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