Recent content by firemedic31075

True, but look at the ST segment and T wave. Usually with a PVC the T wave will deflect the opposite direction of the complex.

I think your partner needs to brush up on his EKG's.

Thanks for all the input guys. I just bought Bob Page's 12-Lead ECG for Acute and Critical Care Providers. Looks like it will have all the info I'm looking for.

Don't beat yourself up too much. If someone is obviously dead (decapitation, dependent lividity, rigor mortis etc.) then don't work the code. But when in doubt just work the code. You wont get in trouble for working a code that you probably shouldn't have but you sure as hell will get burned for...

I believe that book is geared towards basic EKG rhythm recognition. I'm looking for something that deals more in depth with 12 leads.

Anyone know of some good books for getting more in depth with 12 leads?

sorry for the confusion. When we first got on scene I noticed some vomit on the floor and on her face, when I opened the airway there was still some in there which I suctioned (it looked to me like she may have aspirated a bit). and then put in an OPA (at this time she has no gag reflex) and...

I'm sorry but this doesn't make sense to me. You say if she's gagging on an OPA she doesn't need to be intubated via RSI. I though that was the point of RSI, the ability to intubate someone that has a gag reflex. She is unresponsive and had vomited and aspirated a bit before we got there not to...

After the my partner gave 2mg of narcan IM the pt. began gagging on the OPA and continued to have a gag reflex when we go to the back of the unit so the decision was made to RSI rather than attempt to just tube her and risk vomiting and aspiration. It was given initially on scene before we...

Ran a call a few weeks ago for an overdose of oxycodone and Xanax. We arrived to find a 40 y/o/f lying on the floor unresponsive breathing about 6-8 times per min. Airway initially controlled with OPA and ventilated @ 12xmin. No radial pulse but good carotid, skin is cool, pale and diaphretic...

Sometimes when you have A. Fib with RVR it can look regular but only because its so fast.

Looks like Atrial Fib with RVR. Also an Anteroseptal infarct along with the reciprocal changes...

80 y/o/m found at home sitting up in bed. Family says he got into some of his wife's cholesterol medication taking about 9-10 of them 30 mins ago. Daughter states his normal mental status is some what confused but he is a+ox3. patient denies any complaint and says he feels fine. Med Hx-...

Seems to me if your asking your patient how bad their pain is then obviously they must be having pain so it makes sense to use a scale of 1-10. Each time I reassess I ask if they are still having pain and if they are I ask them to rate it. I guess whatever works for you as long as your patient...

I dont know how true this is but I heard there is a way to determine an MI and its location in the presence of a LBBB. I believe it was called the Garboza criteria but im not sure. Has anyone else heard of this? I tried to research it but havn't had any luck finding anything.