If your prehospital STEMI algorithm compasses something other than 1mm elevation in two contiguous leads, or "Acute MI suspected", could you post it? I am...
Jon - See if this fits what you are looking for. The attached file is our Michigan/Oakland County STEMI and Transport protocols. Something to also be aware of,...
Ours is that the patient must have both: 1. Chest Pain 2. The computer algorithm reading "****Acute MI*****" -- Stephen W. Smith, MD Faculty Emergency...
I like: 1mm in 2 or more contiguous leads, 2mm or more for right precordials ***Acute MI*** with absence of reciprocals or mimic exists However I have yet to...
Adam - As much as I like and agree with your logic - addition of those critical words "absence of reciprocals or mimic exists" imply judgement is integrated in...
I failed to mention that the criteria I outlined would require constant review and continuing education. If we take away "judgement" (actual interpretation),...
We're 1mm 2+ contiguous leads w/ paramedic interpretation. Up to the ED to activate based on our STEMI alert. Daytime hours its usually straight to the cath...
All of NC is 15%, we're around 10% in our area. I'll look up our service when I get home. Most common inappropriate activation for us is BER/LVH changes....
In my region, the ED docs fear a false activation even more. The Level II chest pain center we transport to has a hard time meeting the 90 minute door to Cath...
We are just now purchasing the base stations and deploying the LP machines. I'm doing some of the training and quite honestly, we have not had a lot of buy in...
Thank you Gustavo for sending this. To save a moment for others - I'm attaching the PDF that I downloaded. I like the concept of selecting PQRST from the...
As some of you know, Kelly Grayson and I write a monthly article for EMS WORLD called Classroom to Street, in which we cover topics that are beyond the normal...
Hi Gene! I actually read yours guyses article from the latest issue tonight on the Subway on my way to work! Have you tried going to the Yahoo Group page and...
Bill, Thanks. I hope you found the article helpful. I will try those sources and see what I can find. I will appreciate anything you can do to help find...
Oh good I don't need to tweet TomB now :-) GM homeboy! ... From: Tom Bouthillet <tbouthillet@...> Sender: ekg_club@yahoogroups.com Date: Mon, 30 Jul 2012...
Hi Gene. I have just e-mailed you privately with tracings. I've gladly given permission to use the tracings that are mine - and I've included cc's to others...
Thanks Brandon, and thanks to all who have replied. I hope I can get something that we can use, because I think this is important. I will chase down these...
