Defibrillator, ED and Paramedic

Transcutaneous Pacing: Part I

EMS 12-Lead

MARCH 30, 2024

We will be using redacted information from different cases where paramedics attempted TCP in the field. The paramedics begin CPR. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). On ED arrival ROSC is achieved.

CPR

CPR Paramedic Ambulance Epinephrine

SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?

The Skeptics' Guide to EM

APRIL 27, 2024

Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program. When emergency department (ED) staff roll her to remove her clothing her humeral intraosseous (IO) is dislodged. February 2024.

ICU

ICU Defibrillator Paramedic CPR

SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

The Skeptics' Guide to EM

JANUARY 9, 2021

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

EMS

EMS Emergency Medical Services CPR Critical Care

SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

He is interested and experienced in healthcare informatics, previously worked with ED-directed EMR design, and is involved in the New York City Health and Hospitals Healthcare Administration Scholars Program (HASP). The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation.

EMR

EMR Coronary Defibrillator Life Support

Distractions

EMS 12-Lead

MARCH 19, 2023

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (Ret) @DidlakeDW Expert contribution by Dr Robert Herman @RobertHermanMD @PowerfulMedical (Chief Medical Officer) An adult male called 911 for new-onset epigastric burning. To which the lead paramedic replied, “Not cardiac; his symptoms are atypical. Is this OMI?

Coronary

Coronary STEMI Paramedic Defibrillator

What Lies Beneath

EMS 12-Lead

AUGUST 22, 2022

We can, therefore, put down the defibrillation pads, set aside the amiodarone, and look further at the ECG. Chou’s Electrocardiography in Clinical Practice (6th ed). Paradoxically, though, the third green arrow identifies a QRS that is more narrow than the RBBB complexes surrounding it. Circulation, Vol 139, No 16, 1974-76.

E-9-1-1

E-9-1-1 Coronary ALS ICU

Right Bundle Branch Block with Acute ST Elevation Seen Best on Prehospital ECG

Dr. Smith's ECG Blog

FEBRUARY 25, 2009

The paramedics activated the cath lab from the field. But here there is a large degree of ST elevation in V2-V6, I, and aVL. RBBB in acute STEMI has a very high mortality.

Defibrillator

Defibrillator STEMI Paramedic EMS

Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms

NCOAE

AUGUST 12, 2022

Here, we present them in alphabetical order: ABC – Airway, Breathing and Circulation – “This is the Golden Rule of emergency medical professionals” AED – Automated External Defibrillator – The device that delivers electric shock to the heart of patients experiencing sudden cardiac arrest A-EMT – Advanced EMT ALS – Advanced Life Support Anaphylaxis— (..)

EMS

EMS EMT EMT Emergency Medical Technician

Two 70 year olds with chest pain, and 3 pitfalls of the STEMI paradigm

Dr. Smith's ECG Blog

FEBRUARY 13, 2023

Written by Jesse McLaren Two 70 year olds had acute chest pain with nausea and shortness of breath, and called paramedics. But these ECGs were from the same patient: #1 on paramedic arrival and #2 thirty minutes later. Thankfully this patient’s second ECG met STEMI criteria, so paramedics brought them as a code STEMI.

STEMI

STEMI Paramedic Coronary ALS

Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

JULY 26, 2023

Prioritise listening to the first 30 minutes which given a good overview of aetiology and treatment (53 mins) Basics of cardiac rhythm problems in the ED Palpitations are a common reason for children to present to the emergency department, the majority of these will be benign from a cardiac perspective and instead related to stress or anxiety.

ALS

ALS ED OR CPR

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

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. She was defibrillated and resuscitated. Learning Points: 1.

Emergency Department

Emergency Department E-9-1-1 Coronary STEMI

Acute coma, then Sudden PEA arrest in front of paramedics, with STEMI?

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

This is what the providers in the ED understood on patient arrival: Patient called 911 for syncope, then had witnessed PEA arrest after medics arrived. Here is the written paramedic report available after all the events were over: Patient was seen by witnesses to become unresponsive. Not a shockable rhythm.

STEMI

STEMI Paramedic E-9-1-1 Epinephrine

Paramedicine Now

Transcutaneous Pacing: Part I

SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?

Trending Sources

SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

Distractions

What Lies Beneath

Right Bundle Branch Block with Acute ST Elevation Seen Best on Prehospital ECG

Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms

Two 70 year olds with chest pain, and 3 pitfalls of the STEMI paradigm

Cardiac Rhythms/ECG Module

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Acute coma, then Sudden PEA arrest in front of paramedics, with STEMI?

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