article thumbnail

Something Winter This Way Comes

EMS 12-Lead

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic @DidlakeDW A 50 y/o Male was taking his dog for a leisurely stroll through the park when he suddenly experienced new onset chest discomfort. it has been subsequently deemed a STEMI-equivalent.

MICU 130
article thumbnail

Distractions

EMS 12-Lead

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. Fire/EMS crews found him clammy and uncomfortable. Is this OMI?

Coronary 130
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

10 Benefits of Using the Same Communication Tool Every Day

Pulsara

In Colorado Springs, Colorado, firefighters at the Colorado Springs Fire Department credit a large part of their success to the use of one tool day in and day out – no matter what type of call they encounter. Aaron McConnellogue. Just having all of those teams notified at the exact same time is the biggest thing we can do to save time.”

article thumbnail

Dark Side of the Moon

EMS 12-Lead

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review by Dr. Stephen Smith @smithECGblog I was reviewing ECG’s in our LifeNet database and happened upon this one without any knowledge of clinical circumstances. 1] Here is the admitting ED ECG after cancellation of Code STEMI. 1] Driver, B.

STEMI 130
article thumbnail

Hypertrophic Cardiomyopathy

EMS 12-Lead

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review and commentary by Dr. Steve Smith [link] @SmithECGblog It is early-summer, approximately 1330 hours, no cloud cover overhead, and 86 degrees with high humidity. As it currently stands, an ST/S ratio >15% should raise awareness for new anterior STEMI.

Coronary 130
article thumbnail

Hyperkalemia

EMS 12-Lead

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGBlog An adult female called 911 for chest discomfort and difficulty breathing. Then, three minutes later… Crews activated STEMI as she deteriorated into PEA arrest.

STEMI 130
article thumbnail

Formula Utilization

EMS 12-Lead

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith @SmithECGblog I was conducting QA/QI on two very recent cases and was struck by the uniqueness of both. A prehospital STEMI activation was transmitted to the closest PCI center, and 324mg ASA was administered.

ACS 130