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A 60-something woman complained of sudden severe abd pain. She was found by medics agitated, hypotensive, diaphoretic, and in shock. There were 2 prehospital ECGs: What do you think? Smith : Uncertain supraventricular rhythm with PVCs. (See Ken Grauer's analysis below). There is "shark fin" in I and aVL, which is due to a combination of a large R-wave due to left anterior fascicular block plus downsloping ST elevation due to OMI.
How, where, when and why should we be training our EMS clinicians to take care of tiny humans? Look no further for the answers, as we have subject matter expert Stephanie Ashford, Division Chief of Clinical Practice at the Saint Charles County (MO) Ambulance District. Stephanie has proven advice on how to successfully integrate pediatric readiness and skills training for your agency.
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