Utah's Paramedic and EMS Academy

OCTOBER 23, 2023

Upon arrival, you quickly assess the situation and spring into action, working to save a man's life through CPR and defibrillation. This includes checking monitors, defibrillators, airway management equipment, and other essential tools for stabilizing and transporting critically ill patients.

EMT 52

EMT EMT Emergency Medical Technician Defibrillator 52

Dr. Smith's ECG Blog

OCTOBER 23, 2023

She was successfully revived after several rounds of ACLS including defibrillation and amiodarone. By EMS report, open pill bottles were found nearby at the scene, including quetiapine, fluoxetine, hydroxyzine, and gabapentin. On arrival to the ED the patient was intubated with normal vital signs.

ICU 131

ICU OR Defibrillator EMS 131

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

This episode self terminated before defibrillation was possible. I therefore feel it relevant to document ( in your dictation/on the medical chart ) when significant artifact potentially impairs the accuracy of your interpretation. This run of TdP is initiated by a PVC — but it then self-terminates.

E-9-1-1 113

E-9-1-1 ALS Defibrillator OR 113

Don't Forget the Bubbles

JULY 26, 2023

As she has had an out of hospital arrest, the likely path would be (following cardiac work up) to be offered an implantable defibrillator (ICD). The presence of these pathways is documented inutero and they usually regress by around 20 weeks gestation. A 12 year old girl was heard to be coughing in the middle of the night.

ALS 98

ALS ED OR CPR 98

Dr. Smith's ECG Blog

JANUARY 30, 2019

Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon. Drugs that have been associated with Brugada ECG patterns include tricyclic antidepressants, anesthetics, cocaine , methadone, antihistamines, electrolyte derangements, and even tramadol. [2].

E-9-1-1 52

E-9-1-1 CAD STEMI OR 52

Dr. Smith's ECG Blog

APRIL 8, 2016

At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." However it is classified is not so important!

STEMI 52

STEMI Plasma Defibrillator OR 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." Here are other posts on hyperK, large calcium doses for hyperK, and ventricular tachycardia in hyperK Weakness, prolonged PR interval, wide complex, ventricular tachycardia Very Wide and Very Fast, What is it? How would you treat?

Plasma 40

Plasma STEMI Defibrillator Overdose 40

Paramedic Training Spot

NOVEMBER 29, 2021

These orders must be documented, as the rule of thumb is “If it’s not written, it didn’t happen.” You must also pass your practical examinations, which can include things like HARE traction splints, manual airway management, or proper CPR and AED (Automated External Defibrillator) use.

EMT 52

EMT EMT EMR Emergency Medical Technician 52

ECG & Echo Learning

JANUARY 18, 2023

I B ECG monitoring should start immediately and a defibrillator must be ready. I C Cardioversion In patients with documented de novo AF during the acute phase of STEMI, long-term oral anticoagulation should be considered depending on CHA2DS2-VASc score and taking concomitant antithrombotic therapy into account.

STEMI 40

STEMI Coronary OR Defibrillator 40

Dr. Smith's ECG Blog

DECEMBER 5, 2019

Thus, Brugada is the likely diagnosis _ A very nice explanation of this is given in the document quoted below on current ECG criteria for Brugada pattern. Implantable Cardioverter-Defibrillator ), with long-term potential for device-related complications from the ICD, including inappropriate shocks? Bayes de Luna, A et al.

ALS 52

ALS OR Defibrillator STEMI 52

Dr. Smith's ECG Blog

MARCH 8, 2025

Several 200 J shocks did not terminate the VF, so a second defibrillator was applied for double sequential defibrillation with 400 J. She was defibrillated perhaps 25 times. Propranolol versus Metoprolol for treatment of electrical storm in patients with implantable cardioverter-defibrillator. SanzRuiz, R., Solis, J., &

E-9-1-1 75

E-9-1-1 OR Defibrillator Coronary 75

Dr. Smith's ECG Blog

DECEMBER 31, 2024

The note documents that the first view of the LCX showed 99%, TIMI 2 flow, but then (before intervention) was seen to fully occlude in real time (100%, TIMI 0). Soon after the witnessed occlusion, the patient suffered ventricular fibrillation arrest, from which he was immediately resuscitated with 1 defibrillation.

Coronary 119

Coronary ACS STEMI CAD 119

Dr. Smith's ECG Blog

MARCH 25, 2025

Documentation indicates that the patient was shocked 4 times (with no comment on energy level) and received amiodarone 300 mg IV and magnesium 2 g IV. In this case, you should get a second defibrillator and perform double sequential external defibrillation (DSED). Getting patients out of VT/VF is the number one priority.

Defibrillator 63

Defibrillator ACS Coronary ALS 63

Dr. Smith's ECG Blog

DECEMBER 27, 2024

Documentation lists a diagnosis of "sinus tachycardia." The current ECG shows sinus tachycardia with old inferior infarct. Strictly speaking, the clinic ECG also had sinus tachycardia underneath the ventricular tachycardia.) He was admitted to cardiology. Serial troponin was undetectable.

Coronary 121

Coronary Defibrillator ACS ED 121

Dr. Smith's ECG Blog

NOVEMBER 29, 2024

Documentation does not indicate whether she had persistent chest pain during this time. Throughout this process, the patient had repeated VF and was defibrillated 8 times. Especially in this clinical context, the ECG is diagnostic for acute inferior OMI. Smith : The cath lab should be activated now! < 35) and rose overnight to 4951.

Defibrillator 66

Defibrillator STEMI Coronary ED 66

ACEP Now

OCTOBER 29, 2024

He was defibrillated twice and received two doses of epinephrine, with return of spontaneous circulation. He underwent placement of a dual chamber, implantable, cardioverter-defibrillator (ICD) placement on hospital day 5. There was no family history of syncope or sudden death. Figure 1: The EMS rhythm strip. Click to enlarge.)

E-9-1-1 52

E-9-1-1 Defibrillator ALS Epinephrine 52