Street Lessons #5 The Hand Drop Test

Just because a person is aware enough to move their hand to avoid their face, doesn’t mean they can’t also be really sick.

Street Lessons #4 Carry Your Gear

I hate not being prepared.

Street Lessons #3 Know Thy Patient

We have no one by that name here.

Street Lessons #2 Troubleshooting the Monitor

When you attach the electrodes, nothing reads on the monitor screen. You recheck the leads and connection to the monitor, which you unplug and then replug several times, all with no change. Still nothing. What do you do now?

Street Lessons

Street Lesson # 1 Don’t Carry Hypotensive Patients in a Stair Chair.

Computer STEMI Interpretation Revisisted

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I spent a fascinating hour and a half with two members of Physio-Control’s technical team going over the 12-Leads I discussed in a recent post. I was extremely impressed with both their knowledge and their desire to improve the computer’s algorithms.

To Transmit Or Not

With these four components in place, no STEMI should fall through the cracks.

Unboard My People Now!

We again debated an implementation time ranging from waiting for the textbooks to be rewritten to opening up the window of the committee room and shouting. “Free at Last! Free at Last! Unboard My People Now!”

Computer STEMI Interpretation

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What percentage of the time when the computer reads “Meets ST Elevation Criteria” and “Consider Acute Infarct,” is it actually a STEMI?

Can Paramedics Recognize STEMIs?

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Despite this well done study, I continue to support field activation of the cath lab through paramedic interpretation alone, but I do believe we need to increase our 12-lead training efforts.

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