Hey, guys. Just wanted you to know that I started a blog for Prehospital 12 Lead ECGs, and my first topic is Axis Determination. If I get decent feedback, I...
Hello friends, thought I'd share this case with you from a shift I did in our ED a few weeks ago. An 80 year old man came into the ED with palpitations and...
I'm seeing the pacer spikes, and definitely seeing tachycardia. I am presuming some sort of pacemaker malfunction, but I'm probably wrong. -Wes In a message...
hi guys and gals, pacer function evaluation in an emergency is a lot of fun (not for the patient) but as a strictly academic issue these cases are great to...
I was thinking more of a PMT (pacemaker mediated tachycardia). In other words, the patient has a PVC, which creates a retrograde P wave, which is tracked by...
hi tom, if the first ecg is vt, which i dont believe it is, you can see spikes after the r at 1000ms/60bpm, so the v lead is not seeing the v activity ...
Dear friends - Are you going to EMS Expo 2008 in Las Vegas October 13-17? If so, please attend *"EMS and STEMI: The Evolution of a Major Paradigm Shift"* on...
Thanks everyone, the patient presented sweaty with a BP of 90/60. Being a simple Emergency Physician, and cogniscent of the fact that this could represent some...
Wait a minute! I wonder if the injury pattern could be secondary to the synchronized shock... hmmm.... Did the T wave changes go away after a while? Tom...
Always leave them wanting more Tom, well our hospital doesn't have a cath lab. This guy had a sustained tachycardia for 2 hours and did have a troponin rise....
Paul you have me in stitches! I suppose a large magnet could have been applied to eliminate the pacemaker but they may not be widely available in the outback...
See, I think the magnet is a two edged sword. You run the risk of turning the pacemaker off. That's O.F.F. and having nothing driving the heart at all - how...
Of course, depending on some of the recent research about free radicals, I'm not so sure about oxygen.... In a message dated 10/5/2008 9:35:18 P.M. Central...
Hi Paul, I can check with my coworkers tommorrow but I am under the impression that PMs will go to a fail safe mode when a magnet is applied. They stop doing...
Anyone planning on going to TCT (or otherwise will be in DC) next week? I'll be there and would love to meet up. Cheers, Nick -- Sent from my mobile device...
most pacers should go to v v i at 60 to 72 as a backup with the magnet applied, this is why people with pacers should not walk near an mri, lets say they are...
Which should come first -- nitroglycerin or obtaining (and/or interpreting) a 12-lead EKG??? I'm asking because I've seen some EMS services that allow...
Hi, I agree with your perspective, ntg, if indicated, can wait the less than 60 seconds it takes to do a 12 lead/18 lead/v3 and v4 R ECG, our pledge is to...
Coming from a progressivish state, we allow our EMT-basic/first responder services to acquire the baseline 12-lead. They cannot interpret, but they know how...
In theory, Texas would allow it, as we do not have statewide protocols or scopes of practice.? The decision to train and allow non-paramedic personnel to...
Virginia is starting to do this also. Tom From: ekg_club@yahoogroups.com [mailto:ekg_club@yahoogroups.com] On Behalf Of Neal Weers Sent: Monday, October 06,...
Not to take this off track, (and my apologies if I do) but there is no scope of practice in Texas? What would stop a medical director from allowing EMTs to do...
Robert: Texas allows the medical director latitude to determine what interventions and skills are allowed.? In many frontier areas of Texas, EMT-Basics are...
We've been juggling apples, oranges, grapefruit, and tomatoes here. Let's try to sort this out from a legal point of view. First, the first rule of practice is...
Just curious, what does "if needed" imply? Are they trained to transmit all 12 leads? Just on patients where the computer algorithm marks it abnormal? Are...
... As far as "advanced training and education", what does this include? For example, lets say you have someone who is an EMT-Basic but outside of their formal...
Dave Hildebrandt is actually studying this. Dave, what have you found? ... -- Stephen W. Smith, MD Faculty Emergency Physician Hennepin County Medical Center ...
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