One of the ECG diagnoses is Complete heart block. Thought I'd get in early with the most obvious of the abnormalities. Best Paul Dr Paul M Bailey FACEM ...
Hmm this is a cool one. Lets see: Ill go through it systematically Bradycardia narrow QRS P waves to QRS but NOT always QRS to P waves. So, PR interval remains...
Mike-- I respect your oppinion but do not agree with your assessment of the literature. The evidence is not as good as I would like to see, true. But there are...
Hey David I agree with you. The problem is the literature really dosent. The reason
why is the level of qualitative evidence and anecdotal (I saw my buddy do...
I am forwarding my comments to another list, earlier today on this very subject because I think they apply to the current discussion.... some of it may be...
Mike, everyone. Having thought about the case a bit more, seen your comments and re-looked at the ECG myself, I agree that this looks more like a 2nd Degree ...
I agree with the rhythm diagnosis. I would also like to add the considerations for lipitor that have not yet been mentioned. The patient is symptomatic for...
Ah paul! Nice catch!!!! That makes sense. The symptoms are also similar. Im with you! Mike MacKinnon mmackinnon@... ... From: Paul Bailey Date: 06/01/05...
XML Protocols Philips Medical Systems: Taking a Leadership Role in the Implementation of XML Transmission, Storage, and Output Protocols for ECG Data ...
Mike, Please save me the time to go over Medline... I'm feeling sick today. Do you know (or anybody for that matter) of a retrospective study comparing walk-in...
Nick et al, BTW... sorry for this LONG post. Some time ago I read something very interesting... I believe it was on the National Association of EMS Educators...
I have attached 2 seperate data sets. The more recent data is from a participating Interventional facility, and I presented this information at a recent EMS...
Well said on both accounts Gustavo. I especially love "Pushing a tube in,
for example, does not define us as a profession" That is an awesome statement! Mike...
Ok, I need a favor before I go nuts. During my recent fling with studying Long QT I came across another syndrome that is now hiding from me in my mind. I...
Nick, I also agree with the ryhthm diagnosis, although with his history of hypercholesterolemia and signs and symptoms, one would have to question the...
Sounds like Brugada syndrome to me. I am about 90% complete a research paper
on it now. If you like i can explain it all directly or on here? Mike MacKinnon ...
Ok... this is an official call for papers. We have too many smart folks (in Maine we would say "Wicked smaht") with extensive knowledge. Mike, for example,...
Brugada typically presents with ST elevation in leads V1-2-3 and I do not believe is associated with a shortened PRI. Also see a complete or incomplete RBBB. ...
Andrew is right there. Oddly, i read the email and totally overlooked that
whole part. *stunned* :P Mike MacKinnon mmackinnon@... ... From: Andrew J Bowman...
Ok.. I'm putting the cart before the horse, but that's the way I am.. :) I'm looking for good research/papers on various information.. things that are missed...
Well i am always willing to submit stuff. I will admit the majority of my
publishing has been in trauma related stuff, most recently permissive
hypotension in...
How about T wave alternans or HRV? Those would be good subjects.... for a journal club... ;-) Nick ... -- ____________________________ Nick Nudell, CCEMT-P,...
I think we've veered off course. PE would not likely present with AV block, sickle cell would be unlikely as an adult diagnosis in this fashion. Is this...
This is an awesome EKG, Darlene! Thank you for sharing it. There are upwardly convex ST segments in the inferior leads and reciprocal changes in the high...
I really need to slow down sometimes... The second, sixth, eighth, tenth, and twelvth complexes on this EKG are not paced, and they confirm the diagnosis of...
Hey Gustavo I agree but also disagree... This is not an issue of "proven competence"... you can teach anyone to intubate correctly, for example. Even someone...
Since this mystery is a bit also general medicine, what about Lyme Disease? -- Jon Kavanagh NREMT-P "...to obey is better than sacrifice." 1 Samuel 15:22b ...
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