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The Cardiovascular System for EMTs: Interventions and Heart Conditions

EMT Training Station

Let’s dive in and unravel the complexities of the cardiovascular system and the crucial role you play as an EMT in managing heart conditions. This article is for informational purposes only and is NOT a replacement for proper education and training. This is especially true for those who suffer from cardiovascular disease.

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A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

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. Repeat CT angio chest (not CT coronary, unclear what protocol) showed possible LAD aneurysm and thrombus.

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46 year old with chest pain develops a wide complex rhythm -- see many examples

Dr. Smith's ECG Blog

He reported a history of “Wolf-Parkinson-White” and “heart attack” but said neither had been treated. Learning points: Both patients and other medical providers can report confusing and often contradictory information that obfuscates the diagnosis (in this case, WPW). Serial ECGs enhance the diagnosis of acute coronary syndrome.

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A man in his 70s with chest pain

Dr. Smith's ECG Blog

He stated it was similar to prior heart attacks. Here is his triage ECG: PM Cardio version: With no other information at all, I sent this ECG to Dr. Smith, who replied: "I think it is real. Today's patient is high-risk ( ie, in a high "prevalence" group for having an acute coronary event ). STD in V4-5 too."

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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. (The

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