Jason, I am pro pre-hospital 12 lead, but let me play devils advocate. "1. As I said earlier, presence of STEMI allows the activation of Cath Lab
from EMS...
I scratch my head and wonder why pre-hospital EKG's are not a mandotory part of the pt's hospital chart. I think it essential to track pt's cardiac functioning...
In Florida, it is state law that a completed patient care record be available within 24 hours of care rendered. It is also law that an abbreviated run report...
Devil's Advocate ? I'd say you come off as a little angry. Maybe you don't want to accept the fact that a Paramedic may perform a DIAGNOSTIC test in the field ...
I have to side with Mike on this one. Points are well made regarding transmitting a 12-lead from the field to expedite care. In the air transport business, ...
mark g vojtko
mvojtko@...
Nov 1, 2004 2:48 pm
3235
You wrote-- Give Nitro to determine RVI ?? I hope you were joking. I do not prefer to make my patient Hypotensive just to determine RVI. When a Patient is...
mark g vojtko
mvojtko@...
Nov 1, 2004 2:48 pm
3236
Ding, Ding, Ding--back to your corners men. Mike M's point-by-point countering of Jason's (Xenia FD) points were very valid, well-presented, and necessary as...
Let me weigh in here...... The question isn't about giving the nitrates and opiods, the scary part of that comment "Give nitro to determine RVI" is that you...
In a message dated 11/1/2004 9:50:59 AM Eastern Standard Time, mvojtko@... writes: If you're not satisfied with the way your system works, what have you...
i think i'm going to have to disagree. last i heard, transport was a treatment. 12 leads can change a lot about transport decisions including, where and how...
You Wrote - What's wrong with nitrates and morphine with a RVI? It's perfectly safe to do, if you know what you're doing and are on top of things. What is...
I am in Dayton, Ohio at Miami Valley Hospital and the medics notify our hospital for an acute MI and the cath lab and cardiologist immediately respond. It also...
In a message dated 10/31/2004 10:20:48 PM Pacific Standard Time, bward0013@... writes: The hosts for this site literally wrote the book on it but I cant...
In a message dated 11/1/2004 7:33:06 AM Pacific Standard Time, Station2Medic@... writes: This is a side note Mark, but without the political support of the...
Mike, You can make the same kind of arguments for O2 sat and glucose finger sticks. Information is power and the more you have the better off you and your...
Mark, The effects of nitrates and opioids are debatable in an AMI. But, to think that they are "safe" to give in an AMI is a bit of an overstatement. I would...
Nick, You can call me THE STUD! Tom G ... ===== ++++++++++++++++++ Tomas B. Garcia, M.D., F.A.C.E.P. www.heartstuff.com __________________________________ Do...
In a message dated 11/1/2004 12:40:13 PM Pacific Standard Time, tbgarcia26@... writes: Nick, You can call me THE STUD! Tom G ... OMG! I was trying to...
Hey Tom this is sort of related; I was talking to someone about the ACLS "experienced provider" course. Two things came up. One was that ACLS presumes that...
Jcbartus@...
Nov 1, 2004 9:30 pm
3252
Well said I totally agree with you! I dont give nitro to determine if there
is a RVI, that is often how it is found however. I simply make the
assumption that...
Nick, there isnt a patient who comes into the hospital (or i treat out of
the hospital) who isnt on nitro with an IWMI RVI. They all get it. Its about
dosing....
I am an instructor in the ACLS EP course as well. The course dosen't
contraindicate Nitro in IWMI with RVI. What it does is caution. These people
just dont get...
Im not angry, i am frustrated. I have tried for years to get 12 leads on
rigs and helo's in my area with little or no success. Phoenix FD had them
and they...
In a message dated 11/1/2004 1:31:41 PM Pacific Standard Time, Jcbartus@... writes: Hey Tom this is sort of related; I was talking to someone about the...
Hi there, I was happy to see this article posted to the group! I am one of the 5 person team that is working on this very project. The experiment package will...
Hi Len Thank you for the comments... We (probably) do not know much about the file formatting. What we do is take the printed EKG and then scan it back in in a...
I really enjoy all the info/discussion on meds, etc, but my newly acquired (very basic) EKG interpreting abilities are fading quickly without practice. Like...
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