No more comments? Okay, I'll finish up the case with a few observations. First, this is a bifascicular block (RBBB/LAFB). In fact, there's a 1AVB, so it's...
Our system's protocols vaguely specify that patient should be transported to the "most appropriate facility". Our protocols do have specific requirements for...
I haven't seen any mention of clopidogrel in any of the postings. Are any services taking patients directly to cath labs loading them with clopidogrel? JJ...
JJ Galpert
Jacob.galpert@...
Dec 2, 2008 12:23 am
10790
Yes. My service in Texas (San Marcos/Hays County EMS) administers 300 milligrams of clopidogrel prehospital for STEMI. We also do up to 3 doses of 5 ...
I apologize. My send button works faster than my brain. Here's the full posting: Yes. My service in Texas (San Marcos/Hays County EMS) administers 300 ...
We have the medics activate the cath lab if, and only if, there is BOTH chest pain and the EKG algorithm (Marquette 12 SL) reads ***Acute MI****. We have had...
i always think in medical terms, what i said was that in a patient that is/had gotten cpr, central line, ett, egt, etc it may not be the best thing to do to...
Ah! Of course. I understand and agree. Matter of fact, I know of a related case that I'll describe briefly as a "don't let this happen to you." 66 year...
For those of you all loading with clopidogrel pre-arrival in the ER, what study are you basing that on? COMMIT was 75mg clopidogrel started within 24hr of...
I know of one service in Iowa (I have never worked there, but know the director and have seen the protocols) that has a protocol for Retavase in STEMI...
Hi all! This is my first post here in the blog! I have discovered that this group doesn´t store attachments, so I put these ECG scans on my personal server...
Hallo, can anyone help me differentiate among the following: 1)AVNRT (atypical AV node reentry tach.),2) Atrial tach. of posteroseptal origin 3)Permanent form...
Hello. Well, I couldn't pull up the precordial link, so here's my two cents worth on this rhythm..... First, if it was AF with abberant conduction, the...
Atypical AVNRT spins in the opposite direction, or uses different combinations of fast/slow pathways of the AV node. Typical AVNRT has a significant "jump"...
Thanks, Neal! ... conducted beats would still have some irregularity to it (of course this is difficult to tell if there are only two beats). When you say...
Anyone have any experience with WPW and conversion to deadly arrythmia? I personally have just been Dx with it,aside from occasional palpatations I am...
traci s
straci@...
Dec 4, 2008 2:22 pm
10806
This raises another question. Are ALL compensarory pauses due to PVCs? Cheers, Nick ... -- Sent from my mobile device...
http://www.washingtonpost.com/wp-dyn/content/article/2008/12/03/AR2008120303696.html "A 39-year-old Northeast Washington man died yesterday, a few hours after ...
It's stuff like this that makes us look bad, like a bunch of bumbling keystone cops. When I'm precepting, I'm always having to hammer into the students/interns...
Um, despite what the article states, I prefer to give the benefit of the doubt to the EMTs and medics. Let the investigation proceed and conclude before...
A call like this is such a shame. We all know prehospitally that some people use us as a taxi and that we all get frustrated with it, but you cannot let that...
This is the kind of call that we all fear. But this patient needed to be transported to the hospital. Chest pain along with difficulty breathing is a no...
but we are also trained and taught not to diagnose. That was my point. My support always is with my fellow medics and emt's even when they mess up because we...
41 year old male complaining of chest discomfort. Onset during sexual intercourse. The patient has had similar episodes before (after exertion), but in the...
The 12 lead shows sinus rhythm with what appears to be global ST elevation which could be suggestive of pericarditis however this does not fit with the...
JJ Galpert
Jacob.galpert@...
Dec 4, 2008 9:58 pm
10817
No recent febrile flue like symptoms. ... -- Tom Bouthillet Lieutenant / Paramedic Town of Hilton Head Island Fire & Rescue Division 843-247-3453 (cell) ...
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