Dr. Smith's ECG Blog

DECEMBER 18, 2022

Written by Emre Aslanger (Emre is our newest editor. He is an interventionalist in Turkey and one of 3 originators of the OMI/NOMI paradigm, along with Pendell and Smith. Here are his publications.) Case A 39-year-old male without prior medical history presents with chest pain that started 2 hours prior to presentation. References: 1.

EMR 52

EMR OR ALS Coronary 52

REBEL EM

MAY 11, 2023

History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. Background: The emergency department is frequently visited by patients suffering from symptomatic alcohol withdrawal, and the traditional management has been dominated by repeated doses of benzodiazepines.

Emergency Department 98

Emergency Department ED EMR OR 98

Dr. Smith's ECG Blog

JULY 31, 2020

In the hope of dispelling continued dependence on millimeter-based STEMI criteria — we’ve published numerous cases in recent years in Dr. Smith’s ECG Blog of acute OMI ( O cclusion-based M yocardial I nfarction ) , in which patients have benefited from acute reperfusion despite not satisfying “STEMI criteria”.

STEMI 52

STEMI Coronary EMR ALS 52

NCOAE

MAY 25, 2022

National Registry Certification examinations evaluate the competence of EMS practitioners at a variety of levels, including Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT), and Paramedic. If that’s the case, please feel free to call our office for additional support.

EMT 52

EMT EMT Emergency Medical Technician AEMT 52

REBEL EM

MARCH 27, 2023

Reason for intubation, severity of illness, ARDS risk score, and ventilator settings were extracted from the electronic medical record (EMR). Data was automatically captured in the EMR so that accurate information was able to be extracted for the study. of patients left the ED on TV settings of 450 mL and 36.1%

Emergency Department 52

Emergency Department ICU Critical Care EMR 52

REBEL EM

JUNE 8, 2023

Epinephrine – 10ug/mL, 10mL syringe Phenylephrine – 100ug/mL, 10mL syringe Phenylephrine bolus doses from 100-200ug and epinephrine 10-20ug administered every 2-5 minutes pursuant to provider order Inclusion Criteria: Adults age >18 years old Received at least one bolus dose of phenylephrine or epinephrine pre-filled syringes Exclusion (..)

Epinephrine 98

Epinephrine Emergency Department ALS Critical Care 98

Dr. Smith's ECG Blog

JUNE 11, 2021

Accordingly, in the algorithm by Cai et al for patients with LBBB and ischemic symptoms ( See below ) — the first indication for PCI is clinical: patients with hemodynamic instability or acute heart failure. An initial level of 650 ng/L represents a too rapid rise to be attributable only to Type II MI from brief cardiac arrest. Learning points 1.

EMR 52

EMR STEMI CPR ED 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

V1 has 0.5 mm of ST segment elevation, V2 and V3 have 1 mm of elevation, v4 has 2 mm of elevation and v5 around 1.5 mm of elevation. More notably there are hyperacute T waves in V3 through V5. These T waves are too large in proportion to their QRS complexes with broad bases, and they are symmetric or nearly symmetric in appearance.

Emergency Department 52

Emergency Department E-9-1-1 Coronary STEMI 52

Dr. Smith's ECG Blog

JANUARY 30, 2018

Arterial pulse tapping artifact [link] This online article references the article below by Emre Aslanger, a great guy who occasionally corresponds with me about ECGs. The Wilson (or Goldberger) Central Terminal is used to produce the augmented (a) leads: aVR, aVL, aVF. Aslanger E, Yalin K. Journal of Electrocardiology. 2012;45(1):15-17.

EMR 52

EMR OR 52

Dr. Smith's ECG Blog

APRIL 21, 2023

So under the OMI paradigm, expert-trained AI would help providers identify OMI and this patient would have had immediate cath lab activation, without any need to wait for repeat ECGs or troponin levels. The troponin element is at least one troponin above the 99th percentile URL with rise and/or fall.

STEMI 52

STEMI Coronary EMR EMT 52

Dr. Smith's ECG Blog

DECEMBER 5, 2022

Arterial pulse tapping artifact [link] This online article references the article below by Emre Aslanger, a great guy who occasionally corresponds with me about ECGs. The Wilson (or Goldberger) Central Terminal is used to produce the augmented (a) leads: aVR, aVL, aVF. Aslanger E, Yalin K. Journal of Electrocardiology. 2012;45(1):15-17.

EMR 52

EMR OR 52

ESO

JULY 3, 2024

Patient Registry | FHIR Integration Now officially in the Epic Showroom, the Patient Registry FHIR integration improves your data abstraction efficiency by importing data from the hospital EMR system directly into a patient encounter record in the registry. We have even more exciting enhancements in the works for Q3 2024.

Mobile Integrated Health 52

Mobile Integrated Health MIH Critical Care Community Paramedicine 52

Paramedic Training Spot

DECEMBER 21, 2021

An EMR performs emergency medical interventions with minimal equipment. An EMR performs emergency medical interventions with minimal equipment. In this article, we’ll be discussing the differences between a civilian paramedic and a United States Army combat medic. Is this field for me?” or “would I be any good this?”

Paramedic 52

Paramedic Emergency Medical Technician EMT EMT 52