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Challenging Tradition: Better Precordial Lead Placement 21 Feb 2013 | 05:56 am
This post is part of a series presenting challenges to the traditions of EMS. Challenging Tradition: Better Precordial Lead Placement Application of the precordial electrodes for a 12-Lead ECG is a ...
Synchronized Cardioversion: What Happened? 27 Jul 2012 | 09:22 pm
EMS was dispatched for a 62 year old male with an altered mental status. Upon their arrival they found the patient to be non-communicative, responsive to verbal stimuli, in moderate respiratory distre...
Incidence of cardiac rhythms as determined by Paramedics on an ALS ambulance 19 Jul 2012 | 03:44 am
The following are the incidence of various cardiac rhythms as determined by the treating Paramedic for an ALS ambulance from October 2007 to June 2012. Outlier data were examined for correctness, incl...
EKG Myth - "Can't be Ventricular Tachycardia with that Axis" 13 Jul 2012 | 09:38 am
This is part of a series of posts detailing common electrocardiogram myths. Myth: Ventricular Tachycardia always has an extreme axis When evaluating a wide complex tachycardia, many providers will l...
J-waves after ROSC and Intra-arrest Therapeutic Hypothermia 8 Feb 2012 | 12:23 pm
The following is the post-resuscitation 12-Lead electrocardiogram of an 82 year old female who received intra-arrest therapeutic hypothermia, via chilled saline and ice packs, as part of a new protoco...
Philips Healthcare's Sierra ECG format XLI Compression Scheme 27 Dec 2011 | 03:52 pm
One of the services I work for has recently acquired a Philips HeartStart MRx cardiac monitor. It came complete with Bluetooth transmission of 12-Lead and event data. At roughly the same time our serv...
EKG Myth - Ventricular tachycardia must have concordance 7 Dec 2011 | 11:20 am
This is part of a series of posts detailing common electrocardiogram myths. Myth: Ventricular Tachycardia must have precordial concordance When differentiating a regular, wide-complex tachycardia so...
EKG Myth - "It's Too Fast for Ventricular Tachycardia" 18 Nov 2011 | 01:56 am
This is part of a series of posts detailing common electrocardiogram myths. Myth: Rate can help you rule out Ventricular Tachycardia When differentiating a regular, wide-complex tachycardia some wil...
Zebra Spotting 23 Jun 2011 | 11:31 am
I'm sure we all received the following good advice at some point in our EMS education or careers: "When you hear hoofbeats, think horses not zebras." I propose we add the corollary: "...but if you d...
An attempt at Video Education: Axis Determination 24 May 2011 | 01:36 am
I'm a huge fan of the Khan Academy and regularly watch his videos when I have a question about something in mathematics. Usually it only takes five or so minutes into the video for me to recall how to...
