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Name that ECG: 51 year old male

Welcome to another exciting installment of Name that ECG. Remember, your job is to interpret the ECG to its fullest; we'll leave the treatment for somebody else! 51 year old male, palpitations....

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Name that ECG: 51 year old male – Findings

This is the conclusion to Name that ECG: 51 year old male. 51 year old male, palpitations.   Rhythm: Rate: ventricular rate ~185 bpm, unknown atrial rate Regularity: regular P-waves: none appreciated...

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2013 STEMI Guidelines: EMS is Accountable

On Monday, the American College of Cardiology Foundation and the American Heart Association released the 2013 Guidelines for the Management of ST-Elevation Myocardial Infarction. Their last updates to...

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Name that ECG: 66 year old female

Welcome to another installment of Name that ECG! Remember, this is a cold read and your job is to interpret the ECG to its fullest. 66 year old female, resolved chest pain.   Rhythm: Rate? Regularity?...

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Name that ECG: 66 year old female – Findings

This is the conclusion to our Name that ECG case: 66 year old female, resolved chest pain. 66 year old female, resolved chest pain.   Rhythm: Rate: atrial rate of ~55 bpm, ventricular rate of ~55 bpm...

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HyperK and Shades of Grey: Myths and Facts about Hyperkalemia Part I

Happy New Year everybody! We start 2013 with a continuation of our discussion about the field treatment of hyperkalemia.  It might be helpful to review the first part of the discussion," HyperK and...

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HyperK and Shades of Grey: Myths and Facts about Hyperkalemia Part II

Today we continue our discussion about the myths and facts of hyperkalemia with Dr. Brooks Walsh, author of the Mill Hill Ave Command blog. We also feature contributions from Dr. Stephen Smith, of Dr....

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“What’s wrong with Mr. Wilson?”

  It is a sunny January afternoon at the ER when you are called to see a 57 year old male complaining of feeling "really sick". You find your patient lying in the bed in room 3. He looks pale and short...

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New Infographic: Left Anterior Fascicular Block (LAFB)

Since infographics are all the rage nowadays I thought we'd put some together for ECG interpretation. I'm starting with left anterior fascicular block… well, just because! I hope you find these to be...

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47 year old male: Holiday Indigestion

Thanks go to a long time reader Nicholas Eisele for this holiday case! As always, details have been changed to protect patient privacy. It is a blustery Christmas morning when you and your partner are...

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47 year old male: Holiday Indigestion – Conclusion

This is the conclusion to 47 year old male: Holiday Indigestion. Thanks go to a long time reader Nicholas Eisele for this holiday case! Editor's Note: sorry for the delay, it helps to press "publish"!...

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Code STEMI Web Series – London to premier at EMS Today in Washington, D.C.

Seaon 2 of the Code STEMI Web Series is set to launch on March 7, 2013 at EMS Today in Washington, D.C.! This season starts out with our most exciting location ever — London, England as we feature the...

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Code STEMI – London Ambulance Service

Ivan Rokos, M.D. has referred to primary PCI for acute STEMI as “the most complex, multi-disciplinary, and time-sensitive therapeutic intervention in the world of medicine.” The emphasis on...

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Episode #11 – Are we harming patients with oxygen?

EMS 12-Lead podcast – Episode #11 – Are we harming patients with oxygen? In this episode of the EMS 12-Lead podcast we're joined by Kelly Arashin, ACNP, CCNS and Mike McEvoy, PhD, RN, CCRN, REMT-P at...

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The Trouble with Sinus Tachycardia

  Sometimes recognizing sinus tachycardia can give us fits. What? Sinus tachycardia? One of the most basic rhythms? The discussion that follows will highlight some of the difficulties sinus tach can...

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Survivor gives us a lens into regional systems of care for acute ischemic...

I just got back from the North Dakota Mission: Lifeline STEMI and Acute Stroke Conference in Bismark, ND. I had a great time and I learned a lot. I often get asked to speak in various venues about...

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77 year old female CC: Abdominal Pain

It's a quiet Sunday afternoon when you're dispatched to a residence for a 77 year old female complaining of abdominal pain. Your dispatch notes indicates she was at the ED the day prior. Upon your...

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RBBB Abnormalities Missed

The original presentation of this case appeared as  "What's Wrong with Mr. Wilson?"… You can read the original post here. Much has been written lately about RBBB abnormalities that were missed.  Dr....

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Editors’ Picks

  Summer is in full swing, and we are often asked about the best resources out there to learn more about ECG.  We decided to put together a list of "Editors' Picks" for some of our favorite "go-to"...

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49 Year Old Male: Chest Pain

  This excellent case comes to us from our friends in the UK. The author wishes to remain anonymous, but we thank him for his contribution. It is about 8am on a gorgeous Wednesday morning, when your...

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