EMS 12-Lead

APRIL 8, 2022

He reported to EMS a medical history of GERD only. Furthermore, there was no family history of early CAD, MI, or sudden cardiac death. V2 – in the final EMS ECG the ST segment was baseline. V3 – in the final EMS ECG the ST segment was still slightly depressed. However, in this context (i.e.

STEMI 130

STEMI ALS Coronary CAD 130

Dr. Smith's ECG Blog

OCTOBER 1, 2023

A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He called EMS who brought him to the ED. Here is the EM decision making: "The patient's EKG revealed some repolarization abnormalities but no clear signs of a STEMI.

OR 129

OR STEMI Coronary CAD 129

EMS 12-Lead

JUNE 20, 2022

Moreover, he had no pertinent medical history to report in terms of CAD, HTN, HLD, or DM, for example. According to the EMS narrative, this patient initially refused hospital transport and advised that he would seek evaluation at a later time with his personal physician. A 12 Lead ECG was recorded. A 12 Lead ECG was recorded.

ACS 130

ACS Coronary STEMI CAD 130

Dr. Smith's ECG Blog

JUNE 23, 2024

His daughter immediately started CPR and another family member called EMS. When EMS arrived the patient was in ventricular fibrillation. Written by Willy Frick A man in his 50s was at home with his family when they heard a thud and rushed into the room to find him unconscious with agonal respirations.

Coronary 120

Coronary CAD CPR Critical Care 120

NVFC

JULY 16, 2024

However, in a data-driven world, it is imperative that fire and EMS organizations have timely and accurate information at their fingertips. Once the new system is in place, it will also be able to integrate information from the computer-aided dispatch system (CADS).

Firefighter 105

Firefighter Emergency Response CAD OR 105

International Journal of Paramedicine

JULY 8, 2024

Investigators sought to evaluate responses by emergency medical services (EMS) at El Paso-Juárez ports of entry (POE). Methods: This cross-sectional, retrospective study evaluates prehospital care provided by EMS at three international bridges in El Paso. The busiest month was July, with a median of 132 encounters.

Prehospital Care Provider 52

Prehospital Care Provider CAD Emergency Medical Services EMS 52

High Performance EMS

JANUARY 26, 2021

Your existing historical CAD records contain the necessary information to build such dynamic views in real-time. The existence of identifiable causes explains the ability to properly forecast the vicinity of calls in addition to their timing.

Emergency Response 100

Emergency Response CAD Emergency Medical Services Ambulance 100

Dr. Smith's ECG Blog

JUNE 1, 2012

This was a middle aged female with a h/o CAD who presented to the ED by EMS sudden onset of central chest pressure 45 min prior to ED arrival with associated diaphoresis and SOB.  There is LVH and there are ST-T abnormalities (large inferior T-waves and ST elevation, with reciprocal findings in aVL).

STEMI 52

STEMI CAD ED EMS 52

Dr. Smith's ECG Blog

APRIL 18, 2024

Similarly, if a patient with known CAD presents with refractory ischemic chest pain, the ECG barely matters: the pre-test likelihood of acute coronary occlusion is so high that they need an emergent angiogram. 1] European guidelines add "regardless of biomarkers".

STEMI 122

STEMI Coronary ALS CAD 122

EMS 12-Lead

JULY 24, 2023

These concerns were readily conveyed to my supervising cardiologist with particular emphasis on high pretest probability for baseline advanced CAD (3-vessel disease, specifically) with a critically stenosed proximal LAD. A quick way to validate this conjecture is to simply acquire a secondary ECG, but I failed to do this in the moment.

Coronary 130

Coronary ACS CAD ED 130

Dr. Smith's ECG Blog

APRIL 14, 2023

Sent by Anonymous, written by Pendell Meyers A man in his 60s with history of CAD and 2 prior stents presented to the ED complaining of acute heavy substernal chest pain that began while eating breakfast about an hour ago, and had been persistent since then, despite EMS administering aspirin and nitroglycerin. Pre-intervention.

CAD 52

CAD ACS STEMI Coronary 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

She was ventilated by bag-valve-mask by EMS on arrival and was quickly intubated with etomidate and succinylcholine. A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. A rectal temperature was obtained which read 107.9

E-9-1-1 52

E-9-1-1 CAD STEMI OR 52

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. Written by Nathanael Franks MD, reviewed by Meyers, Smith, Grauer, etc. He was diagnosed as NSTEMI.

ACS 84

ACS Coronary ALS CAD 84

Dr. Smith's ECG Blog

OCTOBER 10, 2022

As in all ischemia interpretations with OMI findings, the findings can be due to type 1 AMI (example: acute coronary plaque rupture and thrombosis) or type 2 AMI (with or without fixed CAD, with severe regional supply/demand mismatch essentially equaling zero blood flow).

ACS 52

ACS CPR CAD Heart Attack 52

Dr. Smith's ECG Blog

SEPTEMBER 16, 2015

A middle-aged male with h/o CAD and stents presented with typical chest pressure. EMS recorded the following ECG: What do you see? Here is his ECG: The resident was alarmed at the "ST elevation in III with reciprocal ST depression in aVL" Are you alarmed? This is a very common misread. The trick is to find the end of the QRS.

STEMI 40

STEMI CPR CAD Coronary 40

My Paramedic Blog

AUGUST 29, 2013

If the EMS Gods knew better, they would never put us together as when we combine partnerships, we turn into a black cloud. We found the address matching that of a farm, but the message on our CAD (Computer Assisted Dispatch System) said the location was towards the back of the farm and in a trailer. Me: “Pretty quiet here.”

Paramedic 52

Paramedic Ambulance CAD EMS 52

Dr. Smith's ECG Blog

JUNE 2, 2023

Late Gadolinium enhancement: Multifocal scarring of the septum (including RV septum), basal anterior wall and transmural mid inferior region scarring - a non-CAD hyperenhacement pattern. There is mild-moderate tricuspid valve regurgitation. Overall CMR findings are consistent with arrhythmogenic cardiomyopathy. RVEF 100 ml/m2.

ED 95

ED OR ALS CAD 95

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. I could have told you this (and did tell you this) without an MRI.

Emergency Department 52

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

Dr. Smith's ECG Blog

JUNE 20, 2020

A 75 yo with h/o CAD, CABG, and HFrEF presented after a syncopal episode. There is a limit to the amount of voltage that prehospital ECGs in most EMS systems are able to display. There was no prodrome and no associated symptoms such as SOB or CP. The medics were worried about STEMI, as it meets STEMI criteria. What do you think?

STEMI 52

STEMI CAD OR Coronary 52

Dr. Smith's ECG Blog

DECEMBER 16, 2018

This case is contributed by Brooks Walsh , an EM physician and ECG expert from Connecticut. She had a normal EF, and no significant CAD, and was taking flecainide to suppress the AF. The case An older woman presented to the ED with dyspnea, diaphoresis, and chest pressure.

OR 52

OR ED CAD Overdose 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. En route, EMS administered aspirin 325mg by mouth, but withheld nitroglycerin due to initial hypotension. Answer below in the still shot.

Coronary 40

Coronary ACS ALS STEMI 40

Dr. Smith's ECG Blog

OCTOBER 26, 2020

EMS found the patient in VFib and performed ACLS for 26 minutes then obtained ROSC. The patient was transferred immediately for angiogram which revealed no significant CAD, and no intervention was performed. I do not see clear evidence of OMI or reperfusion at this time.

Coronary 40

Coronary Defibrillator ACS CAD 40

Dr. Smith's ECG Blog

MARCH 6, 2019

She also had non-acute CAD of the left main (50%) and LCX (75%). J of National Association of EMS Physicians 2014. Back to the case: The providers recognized persistent ischemia and likely occlusion, and discussed this with cardiology who took the patient immediately for cath. They opened it. Initial troponin T was 0.46 Ownbey et al.

STEMI 52

STEMI ALS ACS ICU 52

FirstWatch

JUNE 18, 2024

One North American EMS system recently had 245 overdoses in a single day. During this engaging session, we will explore cutting-edge technology that EMS systems use to tackle this problem in near real-time. Identifying, tracking, and mapping overdoses is key to effective intervention.

Overdose 40

Overdose CAD Emergency Medical Services EMS 40

ESO

JULY 3, 2024

With this consideration, ESO will continue to partner with EMS agencies as you transform your roles beyond traditional EMS responses. Part of this will include expanding the Electronic Health Record (EHR) beyond the NEMSIS standard to allow for more flexibility in clinical documentation.

Mobile Integrated Health 52

Mobile Integrated Health MIH Critical Care Community Paramedicine 52

EMDocs

JANUARY 8, 2025

He has a history of CHF, dilated cardiomyopathy, HTN, HLD and CAD. Academic EM. For this box, please keep ventricular tachycardia (VTach) and supraventricular tachycardia with aberrancy (SVT with aberrancy) in your differential. This EKG comes from a 75-year-old male presenting with palpitations. Take a look: Figure 3. Did you read it?

CAD 96

CAD EMS Emergency Department ED 96

FirstWatch

FEBRUARY 10, 2025

With FirstWatch , we are able to provide the number of calls on each bill, but we also include the date and time, report number, CAD number, jurisdiction, and other details for the recipient to review. If my EMS chief wants a report, I can send a dashboard that provides data, as well as some context, in almost no time.

CAD 83

CAD EMS OR 83

ESO

NOVEMBER 5, 2024

Connections with CAD, Billing, and Patient Outcomes Seeing the full picture of a patient’s care is key, and new technology is making the response for prehospital care faster and more efficient than ever.

Critical Care 59

Critical Care CAD OR EMS 59

ESO

FEBRUARY 21, 2025

Improve resource allocation ESO EHR is fully interoperable, connecting to computer aided dispatch (CAD), Cardiac Monitors, Billing, and pre-hospital and hospital systems, so you can transfer patient care data across mobile applications. Why do these updates matter?

Mobile Integrated Health 59

Mobile Integrated Health Community Paramedicine MIH Critical Care 59

Dr. Smith's ECG Blog

NOVEMBER 19, 2024

These ECGs were texted to me by one of our previous ultrasound fellows, Will Smoot An elderly male arrived via EMS for acute substernal chest pain with radiation to left shoulder and arm that awakened him from sleep at 0030. He took two full strength aspirin prior to EMS arrival. No prior similar symptoms or known CAD.

OR 111

OR STEMI Coronary CAD 111