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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

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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,

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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

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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

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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

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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

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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

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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,

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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

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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