Dave - So what was the outcome? Was this Brugada? Also, does anyone on the EKG Club listserv happen to have a prehospital 12-lead ECG showing pericarditis (the...
You might find this tracing (Zoll) useful Jon Levine EMT-P I/C EMS Training LTD. 140 Century Rd So.Weymouth,Ma 02190 781-775-1609 www.emstrainingltd.com ...
Thanks, Jon. I remember that case from Dr. Smith's ECG Blog! http://hqmeded-ecg.blogspot.com/2009/08/computer-is-often-wrong.html Indeed the computer is often...
Not having the access to Zoll's proprietary algorythmn I guess it was the universal ischemia/STE and the possibility of PR depression coupled with the age Jon...
I know the Phillips algorithm suspects pericarditis when STE is present in the inferior, anterior and lateral leads. Not sure about the GE-Marquette. Tom On...
If you guys care to read it. I was given this as a case study by someone who was involved with this pt. I've taken out the repetitive notes, and stripped down...
Interesting case, keep it coming! I was surprised about the EP consult with a 25%+ EF. Did I miss the heart failure class? Any reason why they didn't go to...
This is not an M/M case. To my knowledge, the pt is currently alive. I received the case as a learning opportunity from one of the paramedics involved in it. I...
It's hard to say for sure that this is pericarditis and not early repolarization. The leads with ST elevation have nice J-wave notching, which makes me think...
Inferobasal AK refers to akinesis I believe -- basically that wall is contracting poorly or not at all, presumably due here to longstanding infarct. Brandon ...
Jim, I presume you mean not caught by ECG/biomarkers in a timely fashion (whatever that is)? If you *never* see it by those diagnostics, well... is it really...
I know this is not the forum but I know quite a few EMS people post here. A colleague and friend of mine who is a paramedic became seriously ill yesterday with...
Gary I'm so sorry. You are among friends here. She will be in my thoughts. Over the years you've created a lot of memories and you'll always have those. Take...
Great answer by Steve. Jim - I presume the question arises from the dilemma of How Often when you first see the patient (be this by paramedic arriving on the...
I think it less that the computer is "wrong" - since the computer merely does what it is programmed to do. It's programmed to call generalized ST elevation as...
Mathias - First - Thank you for the excellent NEJM reference on STEMI mimics (with mentor Barney Marriott as one of the authors). Interesting tracing you show...
I just wanted everyone to know that Michelle Heap EMTP and dedicated employee of Ofallon-Shiloh EMS passed away just before 6 a.m. She was a colleague of mine...
