EMS 12-Lead

AUGUST 14, 2022

EMS personnel found him seated on a bench, uncomfortable, but without gross distress. MICU transport was unremarkable. A third, and final, EMS 12 Lead ECG was recorded: The precordial ST segments (even Leads I/aVL, as well) have reverted to a dramatically depressed state. But the lesion is still active!

MICU 130

MICU STEMI CAD Coronary 130

REBEL EM

AUGUST 29, 2022

All intubations were performed on hospitalized patients, limiting application to the ED population. In contrast, patients in the ketamine arm had higher rates of MICU admissions. A highly specialized airway team was utilized for intubation, likely unavailable in many institutions. The significance of 7-day survival is unclear.

MICU 52

MICU ICU OR Emergency Department 52

Core EM

NOVEMBER 30, 2024

The Case An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. The ED team emergently notified cardiology and loaded her with aspirin, ticagrelor, and heparin. High-sensitivity troponin peaked at 61 and BNP was normal.

Coronary 130

Coronary STEMI MICU ACS 130