Category Archives:

EMS Use of the PERC Rule for Pulmonary Embolism

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Your patient, a 54 year-old Female, looks at you with a subtle yet perceptible look of panic in her eyes and winces slightly with every breath. You arrived with your Engine company a few minutes ago and are riding the EMT spot today. The Medic unit is inbound, but is coming from across town and […]

So You Think You Can EKG?

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I have a love/hate relationship with our friend the 12-lead EKG. I tend to obtain a lot of them in the course of my field care, and I’m a regular reader/lurker over at the Prehospital 12-lead EKG blog that our friends Chris and Tom et al write in their spare time. I love them because […]

Call PAPPA for Chest Pain – A helpful Mnemonic for Paramedics and EMTs

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If you’ve been an EMT or Paramedic for more than a few days, chances are that you’ve met someone complaining of chest pain. “Chest Pain” calls are one of the most common reasons for an ambulance being dispatched and for good reason, a patient having pain in their chest can be experiencing a host of […]

Sinus Tachycardia Vs. SVT – A Link You Should See

I read a great post about the Supraventricular Tachycardias on the ems12lead blog today. You should read it too.

EMS 12-Leads – The Standard of Care

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Every ambulance operating in the United States should be able to obtain a 12-lead EKG. It doesn’t matter if they work in an urban or rural area nor does it matter if they are BLS, ILS, or ALS. Here are some tips that you can take to your communities to support you getting it.

Changing Cardiac Care – Being Suspicious

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A study published in the JAMA may have big implications for how we treat “Chest Pain” patients. It changed my care, will it change yours?

EMS 12-lead Case – Ischemia and Failure

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The 12-lead was no better. It showed bad, bad mojo. This poor guy was sick.

Are We the Gatekeepers to the Emergency Healthcare System? – EMS 2.0

EMS 2.0 has so much potential to save billions in unneccesary healthcare costs here in the US. Could this be an example? In this scenario, I tell the story of what I’ve put into practice since the Chronicles of EMS came on the scene.

Advances in Resuscitation – CCR If you’re not doing it now, you will be

New advances in the fight agains Sudden Cardiac Arrest – There’s some exciting results here. We seem to be getting a fighting chance.

Dextrocardia?

I took care of a patient today. Poor kid, he had a lot of congenital issues and was noncommunicative and deformed. He was completely bedridden and needed constant care. Poor kid. In treating the condition that he had I put him on an EKG and much to my surprise I saw ST elevation in leads […]

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