Remove Ambulance Remove CPR Remove STEMI
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STREAM-2: Half-Dose Tenecteplase vs Primary PCI in Older Patients with STEMI?

REBEL EM

Background: Primary PCI is the recommended reperfusion strategy in patients with STEMI and should be initiated within 2 hours after first medical contact. In non-PCI-capable hospitals this goal is not always achievable due to delays in transfer. In these cases, thrombolysis is recommended to improve morbidity and mortality. Primary PCI: 95.7%

STEMI 138
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Cardiac Care Show – Episode 2: Post-Resuscitation Care

ECG Medical Training

This is an extremely important topic especially for EMS systems that are implementing High Performance CPR , because it is very predictable that you are going to see a lot more patients with return of pulses in the field, and if you don’t have a plan, lots of things can go wrong before arriving at the hospital.

CPR 52
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Talk less, listen more, drop the attitude

AmboFOAM

We have a large number of graduate paramedics starting with Ambulance Victoria this year, so it’s probably a good time to revisit a topic that seems to receive surprisingly little attention in an industry that relies so heavily upon it. This means that wherever possible the closest ambulance is sent to high priority cases.

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A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

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

ACS 52
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Are Prehospital Acts Of Kindness Losing Their Magic?

The Good, The Bad & The Ugly Paramedic

We feel the warm glow, they feel cared for, the paramedic profession remains valued as a whole and ambulance service bills are paid without protest. An increasing number of patients now know that clinical competence comes included with the package, rather than balk at a cost comparison between ambulances and Ubers as a method of transport.