Cardiac Care Show – Episode 2: Post-Resuscitation Care
Cardiac Care Show – Episode 2: Post-Resuscitation Care
Cardiac Care Show – Episode 2: Post-Resuscitation Care Hello, and welcome to the Cardiac Care Show! I’m your host Tom Bouthillet. In today’s episode we’re going to be talking about
Cardiac Care Show – Episode 1: Mechanical CPR
Cardiac Care Show – Episode #1: Mechanical CPR Hello, and welcome to the Cardiac Care Show. I’m your host Tom Bouthillet. In today’s episode I’d like to talk about mechanical CPR,
When Acute Anterior STEMI Does Not Meet Guidelines
EMS was called to evaluate a male patient in his 60s with a chief complaint of chest pain. He is found at his residence lying on the couch. Onset: Gradual
LAD Occlusion Often Presents Without Reciprocal Changes
Acute anterior STEMI tends to be a more difficult ECG diagnosis than acute inferior STEMI. That’s because with acute inferior STEMI there’s almost always a downsloping ST-segment in lead aVL
SVT, Adenosine, and Postural Modification to the Valsalva Maneuver (REVERT Trial)
EMS is called to the clubhouse of a golf course for a female patient in her early 50s complaining of palpitations. She had just finished playing 18 holes when her
Improving Cardiac Arrest Survival With Post-Event Reviews
I was recently on the EMS Nation (@EMS_Nation) podcast discussing Pit Crew / High Performance CPR and Systems of Care with Faizan H. Arshad, MD (@emscritcare). You can listen to
Paramedics Can and Should Become Experts in 12-Lead ECG Interpretation
When prehospital 12-lead ECGs were still relatively new to EMS (1995-2000) we advised paramedics to maintain a high index of suspicion. We cautioned them about atypical symptoms, especially in women, the
Stroke-Like Symptoms Caused By Pacemaker Malfunction
EMS is called to the residence of a 80 year old male for a possible stroke. According to the patient’s daughter (who is a nurse) the patient had experienced weakness,
Bifascicular Blocks – What You Need To Know
Anatomy of the Heart’s Electrical Conduction System Ventricular depolarizaiton is facilitated by the heart’s electrical conduction system, sometimes referred to as the His/Purkinje system, which by convention is said to have
Ischemia does not localize! What does it mean?
Ischemia Does Not Localize When it comes to 12-lead ECG interpretation — and STEMI recognition in particular — it’s important to keep in mind that ischemia (as opposed to acute