STEMI or ?
American heart standards say that :
Signs and symptoms of a STEMI include:
•Chest pain or discomfort
•Shortness of breath
•Dizziness or light-headedness
•Nausea or vomiting
•Diaphoresis (sweatiness) unexplained by ambient temperature
•Palpitations (uncomfortable...
If you want to see an ER doc get excited, show him your 12 lead that you did before to started treatment 45 mins. ago with ST elevations and obvious sign's of MI... right after he just read the nurses 12 lead she did 2 minutes ago that was normal after all your fine treatment that reversed all...
I agree
Brandon, you hit it on the head...! This guy had a very high probability of an MI. ST elevation in 2 or more contiguous leads with reciprocal changes, is what we need to fit the criteria for STEMI. he only gave us 1 lead with ST elevation but we had the inferior reciprocal changes in...
Woops
I told a guy to get in his car and leave the scene while he's a free man after getting read the riot act from him and his wife over a blocked lane that he had to wait for 20 minutes because of fire hose and safety. He was a police Capt. from another town and called my Supervisor and LIED...
Lost skills
I worked on a Helicopter for 2 years and lost a lot of skills. When ever we did a scene flight, the treatment was usually done. RSI is now open to the ground medics who have their CCP in our area and we don't even do that much...basically just transport and IFT's. 30 years in the...
Good Job
First of all, good job on doing the 12 lead! I'm a 12 lead instructor and believe in them highly. An ST depression in II & III with an ST elevation in AVL and a ??new?? LBBB tells me you may have had a NEW MI on the left ventricle? PAced Pts. still need 12 leads ALWAYS>> Being a...
My EMT
I have a very good EMTB who knows me very well and we make a great team. He will soon be a medic and was trained by me and a medic program. There is only so much a medic can do that an EMT can't do on a pt. If I can treat my Pt. with ALS procedures
while my EMT partner is getting the...
A large ambulance service in West Virgina (Jan-Care) is being courted by EMS unions right now. EMT's make around $8.75 an hour at Jan-care and Medic's make around $11.75 an hour and money aside, the safety and training is BAD! Last week, an EMT was killed in an ambulance crash due to drivers...