ESO

OCTOBER 1, 2024

As fire departments prepare for the transition to the National Emergency Reporting Information System (NERIS), we understand there are many questions about how this new standard will fit into your operations. We will update and add new information as it becomes available, so be sure to bookmark this page and check back if questions arise.

CAD 59

CAD Public Safety First Responder OR 59

High Performance EMS

JANUARY 26, 2021

Your existing historical CAD records contain the necessary information to build such dynamic views in real-time. The following animation demonstrates several spatial demand forecasts in quick succession that are normally separated in the real world by hours.

Emergency Response 100

Emergency Response CAD Emergency Medical Services Ambulance 100

FirstWatch

AUGUST 2, 2023

Police Department needs to keep informed in order to keep his community and officers safe. “If With FirstWatch, I get alerted through CAD triggers on my phone as soon as that call comes through. Having instant access to CAD data allows me to do this.” Lay of the Land It’s not just the CAD data the chief appreciates. “I

CAD 52

CAD 52

EMDocs

NOVEMBER 29, 2023

CT can provide important information. Considerations: Observational, many excluded, 2/3 of SDCT not scanned, adjudication of primary endpoint, patient centered outcomes not the primary outcome Key questions: When, Where, Type of CT and CCTA? Consider CT on the way up to the ICU once stabilized.

ICU 96

ICU CAD ALS OR 96

ESO

JULY 25, 2023

The National Emergency Response Information System (NERIS) is set to replace NFIRS by Q1 of 2025 – marking the biggest change to emergency response standard in the last 50 years. Department of Homeland Security, the Fire Safety Research Institute, and USFA hosted an informational webinar – Modernizing the U.S.

Emergency Response 52

Emergency Response CAD 52

My Paramedic Blog

JULY 8, 2014

I hop into the ambulance, and log onto the CAD (Computer Assisted Dispatch) device. The call pops up onto our CAD. I look at the notes on the CAD it read: Crowning. I gather a few more pertinent information from dad regarding the mother’s pregnancy, it seems that everything has been going well for her. Me: “99 Fox.”

CAD 52

CAD Paramedic Ambulance Firefighter 52

ESO

JULY 3, 2024

Fire Incidents | NERIS NFIRS, the current fire incident reporting system is being replaced by NERIS (National Emergency Response Information System) by the end of 2025. This toggle allows you to quickly and efficiently populate the Construction tab of the Occupant with the same information from the Building when necessary.

Mobile Integrated Health 52

Mobile Integrated Health MIH Critical Care Community Paramedicine 52

EM Literature of Note

OCTOBER 18, 2021

However, after all of that, even with the added information provided by CTCA, there was no difference in mortality or non-fatal myocardial infarction at one year. CTCA certainly has a role in the evaluation of patients with chest pain and possible CAD, but certainly not as a routine investigation in the ED. vs 60.8%.

Coronary 40

Coronary CAD ED OR 40

OntarioMedic

FEBRUARY 8, 2018

Echocardiography can also provide meaningful prognostic information about diastolic function, severity of hypertrophy, chamber size, and valvular abnormalities. Objective information about functional capacity can be obtained from metabolic (cardiopulmonary) exercise testing.

Coronary 52

Coronary CAD OR 52

Dr. Smith's ECG Blog

JUNE 19, 2024

The ED provider ordered a coronary CT scan to assess the patient for CAD. As a result — I always spend an extra brief moment comparing the digitized version to the original tracing to ensure all essential information is reliably transmitted. Another blood pressure was checked.

STEMI 60

STEMI Coronary CAD ED 60

Dr. Smith's ECG Blog

NOVEMBER 26, 2018

This new information makes the diagnosis of atrial flutter far more likely: first, atrial fibrillation and flutter are closely associated and, second, this makes a flutter rate of 200 bpm (with 1:1 conduction) quite likely. So we asked the patient if he had any new medications recently. He said, "I just started taking flecainide last week."

STEMI 52

STEMI ACS CAD OR 52

Dr. Smith's ECG Blog

MAY 10, 2023

At this point, with the information above, the patient's overall clinical picture could be consistent with either reperfused OMI, or Non-OMI, since both may have absent pain and inverted T waves. CAD-RADS category 1. --No Now, with elevated troponins, Wellens' syndrome is likely. A CT Coronary angiogram was ordered.

Coronary 52

Coronary STEMI CAD OR 52

Dr. Smith's ECG Blog

JUNE 18, 2013

I want all to know that, with the right mind preparation, and the use of the early repol/LAD occlusion formula, extremely subtle coronary occlusion can be detected prospectively, with no other information than the ECG. There is 1 mm of ST elevation at the J-point in leads V2 and V3.

STEMI 52

STEMI Coronary ALS CAD 52

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

JANUARY 9, 2023

No family history of sudden cardiac death, cardiomyopathy, premature CAD, or other cardiac issues. This was sent to me with no information and I immediately replied that it was diagnostic of LAD OMI. I sent this ECG to Dr. Smith, with the only information that it is a 17 year old with chest pain.

Coronary 52

Coronary STEMI Heart Attack OR 52

Dr. Smith's ECG Blog

DECEMBER 13, 2019

I texted this to Dr. Smith without any information, and this was his reply: "This could be pericarditis but probably is normal variant." They found non-obstructive CAD, with only a 20% stenosis of OM2 and 10% RCA. Our THANKS to Dr. Meyers for presenting this informative case! No acute culprit. He was admitted to cardiology.

E-9-1-1 52

E-9-1-1 ACS Coronary CAD 52

Dr. Smith's ECG Blog

JULY 11, 2019

Meyers : This ECG was texted to me with no clinical information, and my response was: "That looks like a very subtle LAD OMI. He also had non-acute CAD of the RCA (50%) and LCX (50%). Cardiology was called and the patient was taken for urgent catheterization with the time from ED arrival to cath about 1 hour and 45 minutes.

STEMI 52

STEMI ACS CAD ED 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

J Electrocardiol [Internet] 2022;Available from: [link] Cardiology opinion: Takotsubo Cardiomyopathy (EF 30-35%) V Fib Cardiac arrest Prolonged QTC NSTEMI (Smith comment: is it NSTEMI or is it Takotsubo? -- these are entirely different) Moderate single-vessel CAD. 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

JULY 3, 2018

Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD MI s/p LAD stenting presented to the ED with chest pain similar to his prior MI, but worse. The pain initially started the day prior to presentation. Lead aVL, for example, has a definite J-wave.

ACS 52

ACS STEMI Coronary CAD 52

Dr. Smith's ECG Blog

JULY 31, 2018

She had zero CAD risk factors. I saw this before any other information and knew immediately that it represented an LAD occlusion. It was non-radiating and without other associated symptoms except for nausea. Here was her ECG at time zero: What do you think? There is ST elevation in V2 with large fat T-wave.

Coronary 52

Coronary ACS STEMI OR 52

Dr. Smith's ECG Blog

MARCH 24, 2023

Written by Jesse McLaren, with comments from Smith An 85 year old with a history of CAD presented with 3 hours of chest pain that feels like heartburn but that radiates to the left arm. Below is the ECG. What do you think? There’s sinus bradycardia, first degree AV block, normal axis, delayed R wave progression, and normal voltages.

STEMI 52

STEMI Coronary CAD OR 52

ESO

NOVEMBER 5, 2024

Here are a few highlights of how this new functionality can support your care delivery: Specific Workflows for Critical Care Documentation Documenting patient information in fast-paced situations, as well as long-term and complex transports, can be time-consuming. Interested in seeing the Critical Care capabilities (and more!)

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. Todays patient-centric care relies on connected information across each stage of a patients experience.

Mobile Integrated Health 59

Mobile Integrated Health Community Paramedicine MIH Critical Care 59

Dr. Smith's ECG Blog

JANUARY 15, 2025

Case A 68 year old man with a medical history of hypertension, hyperlipidemia, and CAD with stent deployment in the RCA presented to the emergency department with chest pain. He looked back in time in the patient's chart and saw these ECGs and immediately recognized that they manifested subtle OMI. He had an EKG recorded right away.

Coronary 68

Coronary ED CAD Paramedic 68