The Skeptics' Guide to EM

OCTOBER 19, 2019

Date: October 17th, 2019 Reference: Driver et al. JAMA May 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the […] The post SGEM#271: Bougie Wonderland for First Pass Success first appeared on The Skeptics Guide to Emergency Medicine.

Firefighter 130

Firefighter Emergency Department Paramedic ALS 130

EMS 12-Lead

MAY 8, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGBlog An adult female called 911 for chest discomfort and difficulty breathing. The following ECG was captured upon arrival at the receiving ED. The ED resulted an 8.7 The serum K returned 8.7,

STEMI 130

STEMI ED EMS Firefighter 130

EMS 12-Lead

APRIL 8, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review by Dr. Stephen Smith @smithECGblog I was reviewing ECG’s in our LifeNet database and happened upon this one without any knowledge of clinical circumstances. 1] Here is the admitting ED ECG after cancellation of Code STEMI. 1] Driver, B.

STEMI 130

STEMI ALS Coronary CAD 130

EMS 12-Lead

JUNE 20, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith @SmithECGblog I was conducting QA/QI on two very recent cases and was struck by the uniqueness of both. Here is the final ECG just prior to ED transfer. But this ECG did not strike me as an LAD occlusion during QA/QI.

ACS 130

ACS Coronary STEMI CAD 130

EMS 12-Lead

JUNE 1, 2022

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. Chou’s Electrocardiography in Clinical Practice (6th ed). He is due for a cardiologist appointment in five days. 2] Meyers, H.

Coronary 130

Coronary ALS ED ACS 130

EMS 12-Lead

AUGUST 22, 2022

Chou’s Electrocardiography in Clinical Practice (6th ed). References Chiale, P. Overdrive prolongation of refractoriness and fatigue in the early stages of human bundle branch disease. JACC, Vol 23, No 3; 724-32. Friedman, M., Transient unexpected improvement of AV conduction: What is the mechanism? Saini, A., Raymond-Paquin, A., 40, 1234-41.

E-9-1-1 130

E-9-1-1 Coronary ALS ICU 130

EMS 12-Lead

MAY 20, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review and commentary by Dr. Steve Smith [link] @SmithECGblog It is early-summer, approximately 1330 hours, no cloud cover overhead, and 86 degrees with high humidity. Below is the initial ED ECG. Manual of Cardiovascular Medicine (5th ed.).

Coronary 130

Coronary STEMI Firefighter ED 130