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.

Tough Mudder

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“I ain’t done yet!”

Spinal Immobilization Update

The death watch for spinal immobilization on a long backboard continues to gain steam.

Get Another Job

If you are miserable and hate our patients, I don’t want you working with me.

The Nether Zone

Many people believe that once you enter the hospital doors, you are no longer in charge of your patient.

Sickle Cell

Sickle cell patients are so used to pain that they rarely show it.

What I Learned This Week

A paramedic is only as smart as all the calls he has ever done minus those he has forgotten about.

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