This was partially brought up on another list, but I failed to appreciate it, until I was discussing it with my partner; no archives exist, so y'all get the...
Jon, I'm hoping that this rule was put into place because at extremely high rates, the computer algorithm has difficulty differentiating between R waves and T ...
Message I think there is always an exception to a rule, while I agree that even V-Tach with a pulse generally should be cardioverted, however let me give you a...
I disagree. I feel you should have immediately intervened upon recognition of the arrhythmia. One could argue chemical vs electrical cardioversion, either...
On a related note, I'm currently doing a cardiovascular & thoracic surgery rotation. The surgeon told me of a patient he put an implanted cardioverter/defib...
Does anyone have any scientific evidence available on the identification of RVI by standard 12 lead means. (The significance of lead III > lead II) why the...
Joe, I assumed it was because lead III is in the right quadrant of the hexaxial reference system, and lead V1 is the only lead on the right side of the chest. ...
Tom, If I understand correctly, as the vector directs anteriorly, inferiorly, and to the right, the conduction is once again headed toward a positive...
I'm not sure, Joe. Yes, the positive electrode for lead III is in the right quadrant of the hexaxial reference system, and yes, it appears from the graphic...
http://www.theheart.org/viewArticle.do?primaryKey=645527 ECG time targets not being met in chest-pain patients February 10, 2006 Sue Hughes Sacramento, CA -...
Well said Tom! The reason lead III has ST elevations higher then lead II is that the injury vector is in that direction. I have discussed this with J. Willis...
EMTA1497@...
Mar 3, 2006 10:16 pm
7087
Thank you for the answers thus far... Part II is then fairly moot, particularly as was mentioned in the "keep it simple" thought as Tom B. mentioned (part II...
Ok.. I'm still puzzled. What is the difference between V-tach with a pulse, and V-tach without (besides the obvious pulse issue <G>)? Why do we worry about...
Tom: Blatant it was! Try this next time: "In order to best answer this question, one must consult a reference. Underneath my 7-11 Super Big Gulp of Mountain...
Is Pennsylvania EMS really this far behind to call this "progressive"? http://tinyurl.com/n3paj And it looks like only development of a prehospital 12 lead...
It's unfortunate, but from what I've observed, most prehospital 12 lead "programs" are not programs at all. If you can get the ER doc to activate the cath lab...
So I take it that there are no 12-lead EKGs on ambulances in Sacramento? I thought CA was the model for the world. Silly me. Gene G. ... YAHOO! GROUPS...
Yes Capt. Obvious, Master of the apparent - PA is not that progressive. For clarification, 12 leads have been performed by SOME area squads for years now. I...
Jim There is a study underway in Santa Cruz County California, funded by UCSF and (Medtronic?) looking at EMS transports and continuous cardiac monitoring....
Here is the PubMed: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15534844&dopt=Citation I had a nice conversation with the...
I used to work for Trappe EMS. They have had 12 leads for over 5 years (I do not know how much longer than that). Phoenixville Hospital (PH) has been very good...
Will they do another 12 lead in the ED - absolutely. WHY? We go directly from the ambulance to the cath lab (cath lab direct) thereby lessening the door to...
In a message dated 3/4/2006 3:15:02 PM Eastern Standard Time, jimmnn@... writes: National average 90 minutes, record for us is 21 and we routinely look...
On Sat, 4 Mar 2006 12:16:31 -0700, "James Richardson" ... If the patient goes through the ED, and they do, this is only part of what they feel is minimum...
The current ACLS says DO NOT synchronize for VT without a pulse. Part of it is probably what Tom writes: Difficulty of differentiating R waves from T waves...
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