Tom Bouthillet @[email protected]
11K subscribers - no pronouns :c
Battalion Chief of EMS (Retired) • Co-Founder @6Min2Live • C
Welcoem to posts!!
in the future - u will be able to do some more stuff here,,,!! like pat catgirl- i mean um yeah... for now u can only see others's posts :c
Thanks to @RapidSequenceInfo (EMS 20/20) for having me and Bob Davis on the show to discuss sudden cardiac arrest!
https://youtu.be/Z39pCWiOUoA
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Thanks to @FOAMfratStudios for having me on to discuss cardiac arrest ventilation! Heavy emphasis on expertly performed BLS and capnography. We touch on many topics including HP-CPR, BLS Continuous, and 30:2. Great conversation!
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70s male w/ chest pain. Clear-cut anterior STEMI to De Winter T-waves! Although the last ECG is diagnostic for LAD occlusion it does not (technically) meet STEMI criteria. Hopefully, you would activate the cath lab, even if this was the only 12-lead ECG!
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In stress cardiomyopathy (also known as apical ballooning, broken heart syndrome, or takotsubo cardiomyopathy) the left ventricle takes on the appearance of a Japanese octopus pot (tako tsubo). The syndrome has been linked to emotional distress (e.g., death of a spouse, near-drowning, smoke inhalation, and so on). Often presents with anterior ST-elevation and associated with a rise and fall of cardiac biomarkers (so meets the technical definition of acute myocardial infarction) although no artery is occluded.
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If you suspect an acute coronary syndrome but the first 12-lead ECG is nondiagnostic, obtain another a few minutes later! Serial 12-lead ECGs often clinch the STEMI diagnosis and allow early reperfusion. To paraphrase Tim Phalen, is Old Faithful a geyser or a hole in the ground? It depends on when you take the picture!
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Is this sinus bradycardia with first degree AV block and LBBB? No, this is 2:1 block! To prove it find a lead with prominent P-waves and relatively small T-waves. Look at the half-way point of the P-P interval and find the hidden P-waves! In this example they are best seen in lead I and lead V1.
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Battalion Chief of EMS (Retired) • Co-Founder @6Min2Live • Creative Director @PlankBridgeMedia • Board Member, A Call to Action - Bluffton