Hi Ken, Thanks for posting those articles. I queried an interventional cardiologist and another fellow, both of whom told me IV beta blockers should not be ...
15093
seattlepharm
Mar 2, 2012 5:31 am
FYI.... Ischemic Events with Dabigatran v. Warfarin: Data from the RE-LY (Randomized Evaluation of Long-Term Anticoagulation Therapy) study show a...
15094
seattlepharm
Mar 2, 2012 5:59 am
Hi all, I wanted to send an interesting slide presentation to the group but didn't know how to send attachments. I usually go to the group website to...
15095
Brandon Oto
tagbagzag
Mar 2, 2012 4:09 pm
Not sure if this is a meaningful gauge of the zeitgeist, but for a while now I've been receiving junk mail titled "Have you or anyone you know been harmed by...
15096
Ken Grauer
ekgpress
Mar 2, 2012 5:47 pm
I'm afraid that junk mail might be a sad gauge of the zeitgeist ... Dabigatran clearly with advantages compared to coumadin (easier to use; no monitoring;...
15097
kavinin@...
misafetytrainer
Mar 3, 2012 3:03 pm
One issue with Dabigatran which came up in discussions (and I apologize for the drift) is if a patient has a headbleed--there seems to be little concrete...
15098
Mike Sherriff
hunden008
Mar 23, 2012 7:22 pm
Hello all, hope you can help me out with something. When we say "inferior infarct," we are referring specifically to the "inferior wall infarct of the Left...
15099
Ken Grauer
ekgpress
Mar 23, 2012 7:56 pm
Mike - You are "right on". The RCA generally supplies the RV, and the inferior and posterior walls of the LV - which is why when the RCA is occluded, you often...
15100
Teresa M
mumsyrnbsn
Mar 25, 2012 2:46 am
Hi Mike,  This is not to clarify anything but to show all how things may not always seem as they are!  55 yr old male pt presents to ED with crushing...
15101
Teresa M
mumsyrnbsn
Mar 25, 2012 2:54 am
attached is article link for ST-Segment Elevation in Precordial Leads. Anterior or Right Ventricular Myocaridal infarction.  ...
15102
krin135@...
dockrin
Mar 25, 2012 3:19 am
I don't know if they worked the Cath Lab or not, but the APRNs working with the Cardiologists at St Pat's in Lake Charles did the initial evals for ED ...
15103
Ken Grauer
ekgpress
Mar 25, 2012 12:16 pm
Hi Terri. THANKS for sending out that very interesting CHEST case report(s) of those 2 examples of isolated RV MI presenting as anterior ST elevation. Yes -...
15104
Andrew J Bowman
sumieb_6962
Mar 25, 2012 7:25 pm
Did EKG normalize after cath? vasospasm??? Andrew B...
15105
Mike Sherriff
hunden008
Mar 27, 2012 11:34 am
Wow! That is impressive. Â I know I wouldn't have even thought of a RVI. Thanks for sharing the case, Mike ________________________________ From: Teresa M...
15106
Brandon Oto
tagbagzag
Mar 30, 2012 2:33 am
This was new to me, and I'm curious if the gang caught this study from last year: http://archinte.ama-assn.org/cgi/content/full/171/6/544 Suggests that the...
15107
Brandon Oto
tagbagzag
Mar 30, 2012 2:56 pm
15108
Tom Bouthillet
code3insc
Mar 30, 2012 2:57 pm
This is the generally accepted definitive reference supporting that prompt, expertly performed primary PCI is superior to fibrinolytic therapy. Keeley EC,...
15109
Stephen Smith
rpmpaddler
Mar 30, 2012 9:48 pm
Lytics given within 2 hours are as good as PCI, see CAPTIM study, Steg et al. Circulation 2003 Dec 9; 108:2851-6. And now with rescue PCI so successful, it...
15110
Tom Bouthillet
code3insc
Mar 30, 2012 10:17 pm
I agree, Steve, but you are from Minnesota where virtually 100% of STEMI patients are transferred immediately for PCI. In a huge area of the country STEMI...
15111
Stephen Smith
rpmpaddler
Mar 31, 2012 4:58 pm
I think we agree, Tom: I agree with those who say that if you can't get PCI within 60 minutes of when you would give lytics, and the patient is < 3 hours from...
15112
Ken Grauer
ekgpress
Mar 31, 2012 5:52 pm
Hi Steve. I think we all agree with your excellent summary - namely that PCI works best (and better than thrombolysis) when given very early - but that...
15113
Brandon Oto
tagbagzag
Mar 31, 2012 6:56 pm
One thing I'm confused about is what, if anything, has changed in thrombolytic treatment in recent years. What new techniques or therapies are being used that...
15114
Ken Grauer
ekgpress
Mar 31, 2012 7:18 pm
Ditto - which is one of the main problems I had with the Claeys et al article .... Ken ==============...
15115
Bill Murphy
murphquake
Apr 4, 2012 3:05 pm
Just got an email from JEMS listing our own Tom Bouthillet at the top of the list of 2011 JEMS/Physio Control EMS Innovators!! Way to go fearless leader! -bill...
15116
Tom Bouthillet
code3insc
Apr 4, 2012 4:25 pm
Thanks, Bill! Tom Sent from my iPad...
15117
drueg
drueg40
Apr 4, 2012 6:05 pm
First on the list in the April JEMS magazine ________________________________ From: Tom Bouthillet <tbouthillet@...> To: "ekg_club@yahoogroups.com"...
15118
Christopher A. Watford
christophera...
Apr 4, 2012 6:06 pm
He's one of those people with an alphabetical advantage....
15119
Chris Bartus
Jcbartus@...
Apr 4, 2012 8:30 pm
Congratulations, Tom! Sent from my iPhone...
15120
Stephen Smith
rpmpaddler
Apr 5, 2012 5:21 am
Well deserved! -- Stephen W. Smith, MD Faculty Emergency Physician Hennepin County Medical Center Associate Professor of Emergency Medicine University of...
15121
seattlepharm
Apr 12, 2012 11:41 pm
Though no antidote and reliable reversibility, I'm wondering if you think factor VIIa, activated prothrombin complex concentrate, fresh frozen plasma would...
