Racing the Reaper: Book Review

Overall, an easy read, with lots of authentic EMS detail.

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There are two police cruisers outside the building and a fire engine.  We just drove lights and sirens completely across town to get here.  The call is virtually identical to the previous call we did where we also raced across town lights and sirens.  We are telling ourselves that we did such a great job […]

12-Lead Computer Interpretation

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Who said computers don’t know how to interpret 12-lead ECGs?

12-Lead on First Contact

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While studies have shown that between 15-20% of STEMIs don’t emerge until the 2nd or 3rd ECG, there are also cases where the STEMI disappears after the first ECG.

Status Quo

Ever since I have been in EMS — 24 years now — I have heard the discussions about ambulance availability, the need to leave a fully completed documented run form before leaving the hospital, and the need to improve paramedic pay.

New NEMJ Study on Door-to-Balloon and Mortality in STEMI

The New England Medical Journal released a major new observational study that showed that despite a significant reduction in door to balloon time in recent years, there has not been a corresponding decline in 30 –day in-hospital mortality.

Door-to-Balloon Time and Mortality

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In those patients who present early, the shortest possible door-to-balloon time improves outcomes

The Theorem of Early STEMI Notification

Early notification must be > or = to the amount of time it takes the cath lab to be ready to accept the patient to achieve optimal benefit.

Safety of High Dose Nitro in CHF

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A new study adds more support for guidelines allowing paramedics to use high dose SL nitro when faced with patients in respiratory distress due to heart failure with hypertension.

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