EMS 12-Lead

AUGUST 14, 2022

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic @DidlakeDW A 50 y/o Male was taking his dog for a leisurely stroll through the park when he suddenly experienced new onset chest discomfort. Otherwise, no admission of CAD, HLD, or family history of sudden cardiac death.

MICU 130

MICU STEMI CAD Coronary 130

Dr. Smith's ECG Blog

APRIL 18, 2024

Paramedics provided another 3 sprays of nitro, and 6mg of morphine, which reduced but did not resolve the pain. I sent this to the Queen of Hearts So the ECG is both STEMI negative and has no subtle diagnostic signs of occlusion. of such ‘high risk Non-STEMI’ patients get angiography within 2 hours.[2] But only 6.4%

STEMI 121

STEMI Coronary ALS CAD 121

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. Furthermore, there was no family history of early CAD, MI, or sudden cardiac death.

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. Moreover, he had no pertinent medical history to report in terms of CAD, HTN, HLD, or DM, for example.

ACS 130

ACS Coronary STEMI CAD 130

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. From Gue at al.

Emergency Department 52

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

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. 2 The astute paramedic recognized this possibility and announced a CODE STEMI. Look at the aortic outflow tract. What do you see? Answer below in the still shot.

Coronary 40

Coronary ACS ALS STEMI 40