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Protocol Change

Peter Canning

For instance, there was no protocol for stroke or STEMI. At some point along the way we had protocols for spinal motion restriction, alcohol withdrawal, stroke and STEMI, CPAP, and termination of cardiac arrest resuscitation on scene. The book was approved by the two largest hospitals in Hartford. Paramedics didnt do 12-lead ECGs then.

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PEC Ep. 115: Deep Dive prehospital's STEMI

Prehospital Emergency Care Podcast

The PEC Podcast with host Dr. Maia Dorsett brings you our Deep Dive Series with: Daniel Joseph MD Kevin Burns EMT-P, PA-C Aman Shah MD who discuss their manuscript: STEMI Equivalents and Their Incidence during EMS Transport Click here to download today! As always THANK YOU for listening.

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The Expert Witness re-visits a chest pain Malpractice case using the Queen of Hearts

Dr. Smith's ECG Blog

See this post: Septal STEMI with ST elevation in V1 and V4R, and reciprocal ST depression in V5, V6. They also sued both EMTs for allegedly not starting chest compressions and defibrillating quickly enough. However, the pattern is also seen in inferior OMI with right ventricular OMI. (V1 Also seen in inferior + RV OMI.)

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50 year old with acute chest pain, with ‘normal’ ECG and falling troponin

Dr. Smith's ECG Blog

Now let’s compare this with the existing paradigm to identify multiple preventable delays to reperfusion, which can be improved through the paradigm shift from STEMI to OMI. In the STEMI paradigm, patients with ischemic symptoms and ECGs that don’t meet STEMI criteria get serial ECGs.

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Wave 2024 Recap: Top 6 Key Topics in EMS & Fire Industries

ESO

In Evaluating Firefighter Decontamination Practices Using a National Fire Records Management System by Antonio Fernandez, Principal Research Scientist at ESO and Bill Gardner CFE, CFO, EMT-P, Sr.

MIH 105
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Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

The fire department, who operate at an EMT level in this municipality, arrived before us and administered 324 mg of baby aspirin to the patient due to concern for ACS. STEMI MINOCA versus NSTEMI MINOCA STEMI occurs in the presence of transmural ischaemia due to transient or persistent complete occlusion of the infarct-related coronary artery.