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2013

Life Support

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The ‘One Big Beautiful Bill’—And the EMS Revenue Collapse No One’s Ready For

JEMS

JUNE 23, 2025

27-30 Ambiguity in Defining “Nonemergent” Cases In a 2013 Health Affairs study, the authors label 12.9% The ALS1 rate was chosen because while most patients are transported utilizing basic life support, this figure does not account for mileage or those patients treated at the higher ALS2 rate (using CMS data, approximately 3.6%

EMS

EMS E-9-1-1 Community Paramedicine Emergency Medical Services

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repost this one as QRS distortion

Dr. Smith's ECG Blog

JANUARY 6, 2016

. ► 2015 (188) ► December (16) ► November (16) ► October (15) ► September (15) ► August (20) ► July (13) ► June (15) ► May (11) ► April (19) ► March (21) ► February (9) ► January (18) ► 2014 (151) ► December (15) ► November (15) ► October (11) ► (..)

STEMI

STEMI Coronary CPR ACS

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Trending Sources

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A patient with chest pain. (post on Normal ECG)

Dr. Smith's ECG Blog

NOVEMBER 27, 2014

. ► October (11) ► September (15) ► August (11) ► July (13) ► June (8) ► May (12) ► April (14) ► March (13) ► February (9) ► January (15) ► 2013 (120) ► December (14) ► November (9) ► October (10) ► September (9) ► August (13) ► July (9) ► June (..)

STEMI

STEMI Coronary CPR ACS

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

MAY 10, 2019

. ► April (16) ► March (19) ► February (8) ► January (18) ► 2018 (188) ► December (11) ► November (18) ► October (16) ► September (16) ► August (13) ► July (19) ► June (13) ► May (12) ► April (23) ► March (16) ► February (16) ► January (15) ► (..)

STEMI

STEMI Coronary CPR ACS

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Article on STEMI vs. BER

Dr. Smith's ECG Blog

FEBRUARY 20, 2016

. ► January (23) ► 2015 (188) ► December (16) ► November (16) ► October (15) ► September (15) ► August (20) ► July (13) ► June (15) ► May (11) ► April (19) ► March (21) ► February (9) ► January (18) ► 2014 (151) ► December (15) ► November (15) ► (..)

STEMI

STEMI Coronary CPR ACS

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

APRIL 13, 2019

. ► March (19) ► February (8) ► January (18) ► 2018 (188) ► December (11) ► November (18) ► October (16) ► September (16) ► August (13) ► July (19) ► June (13) ► May (12) ► April (23) ► March (16) ► February (16) ► January (15) ► 2017 (153) ► (..)

STEMI

STEMI Coronary CPR ACS

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

JULY 27, 2020

. ► June (13) ► May (12) ► April (9) ► March (9) ► February (12) ► January (22) ► 2019 (181) ► December (11) ► November (16) ► October (12) ► September (11) ► August (18) ► July (19) ► June (16) ► May (17) ► April (16) ► March (19) ► February (..)

STEMI

STEMI Coronary CPR ACS

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repost: [link]

Dr. Smith's ECG Blog

JANUARY 11, 2017

. ► 2016 (142) ► December (8) ► November (16) ► October (10) ► September (9) ► August (12) ► July (6) ► June (11) ► May (11) ► April (8) ► March (16) ► February (12) ► January (23) ► 2015 (188) ► December (16) ► November (16) ► October (15) ► (..)

STEMI

STEMI Coronary CPR ACS

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Leucodepletion in Bordetella Pertussis

Don't Forget the Bubbles

FEBRUARY 24, 2025

Since the introduction of the Pertussis vaccination in pregnancy, from 2013 to the end of October 2024, there have been 31 deaths in infants under 3 months with confirmed Pertussis (eleven of which occurred in 2025). This heightened risk underscores the need for vigilant supportive care and proactive management in these cases.

ALS

ALS Critical Care OR Life Support

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Anterior ST Elevation - Is it STEMI?

Dr. Smith's ECG Blog

AUGUST 25, 2013

OMI Manifesto About Resources Teaching Images Lectures + Podcasts Rules + Equations OMI Literature Timeline OMI Facts and References The OMI Quizzes OMI Pocket Guide Cardiac CATH Guide QTc Calculator Lead Reversals-Artifact Neuroprotective CPR OMI AI: The Queen of Hearts Sunday, August 25, 2013 Anterior ST Elevation - Is it STEMI?

STEMI

STEMI Coronary CPR ACS

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Great dynamic BTWI case

Dr. Smith's ECG Blog

AUGUST 15, 2017

. ► July (14) ► June (9) ► May (10) ► April (12) ► March (16) ► February (5) ► January (11) ► 2016 (142) ► December (8) ► November (16) ► October (10) ► September (9) ► August (12) ► July (6) ► June (11) ► May (11) ► April (8) ► March (16) ► (..)

STEMI

STEMI Coronary CPR ACS

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

APRIL 21, 2021

. ► March (12) ► February (10) ► January (14) ► 2020 (187) ► December (23) ► November (17) ► October (21) ► September (18) ► August (11) ► July (20) ► June (13) ► May (12) ► April (9) ► March (9) ► February (12) ► January (22) ► 2019 (181) ► (..)

STEMI

STEMI Coronary CPR ACS

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ROSC from drug overdose arrest, what is the likely etiology?

Dr. Smith's ECG Blog

DECEMBER 3, 2020

Lecture on Head Up CPR by the Expert: Johanna Moore ► November (17) ► October (21) ► September (18) ► August (11) ► July (20) ► June (13) ► May (12) ► April (9) ► March (9) ► February (12) ► January (22) ► 2019 (181) ► December (11) ► November (16) ► October (12) (..)

Overdose STEMI Coronary CPR

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

JANUARY 19, 2025

. ► 2024 (177) ► December (15) ► November (14) ► October (14) ► September (18) ► August (11) ► July (16) ► June (14) ► May (16) ► April (13) ► March (13) ► February (16) ► January (17) ► 2023 (162) ► December (17) ► November (12) ► October (16) ► (..)

STEMI

STEMI Coronary CPR ACS

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LVH with STE in aVL and STD in III

Dr. Smith's ECG Blog

MARCH 20, 2015

A 50-something male with Dyspnea ► February (9) ► January (18) ► 2014 (151) ► December (15) ► November (15) ► October (11) ► September (15) ► August (11) ► July (13) ► June (8) ► May (12) ► April (14) ► March (13) ► February (9) ► January (15) ► 2013 (120) (..)

STEMI

STEMI Coronary CPR ACS

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

JANUARY 20, 2022

. ► 2021 (143) ► December (15) ► November (14) ► October (12) ► September (10) ► August (10) ► July (13) ► June (9) ► May (9) ► April (15) ► March (12) ► February (10) ► January (14) ► 2020 (187) ► December (23) ► November (17) ► October (21) ► (..)

STEMI

STEMI Coronary CPR ACS

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repost this great case

Dr. Smith's ECG Blog

MARCH 19, 2017

. ► February (5) ► January (11) ► 2016 (142) ► December (8) ► November (16) ► October (10) ► September (9) ► August (12) ► July (6) ► June (11) ► May (11) ► April (8) ► March (16) ► February (12) ► January (23) ► 2015 (188) ► December (16) ► (..)

STEMI

STEMI Coronary CPR ACS

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

DECEMBER 8, 2021

. ► November (14) ► October (12) ► September (10) ► August (10) ► July (13) ► June (9) ► May (9) ► April (15) ► March (12) ► February (10) ► January (14) ► 2020 (187) ► December (23) ► November (17) ► October (21) ► September (18) ► August (11) ► (..)

STEMI

STEMI Coronary CPR ACS

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Early Repol changes month to month

Dr. Smith's ECG Blog

JUNE 19, 2019

. ► May (17) ► April (16) ► March (19) ► February (8) ► January (18) ► 2018 (188) ► December (11) ► November (18) ► October (16) ► September (16) ► August (13) ► July (19) ► June (13) ► May (12) ► April (23) ► March (16) ► February (16) ► January (..)

STEMI

STEMI Coronary CPR ACS

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Mustafa Alway sept 8 WPW???

Dr. Smith's ECG Blog

SEPTEMBER 8, 2016

. ► August (12) ► July (6) ► June (11) ► May (11) ► April (8) ► March (16) ► February (12) ► January (23) ► 2015 (188) ► December (16) ► November (16) ► October (15) ► September (15) ► August (20) ► July (13) ► June (15) ► May (11) ► April (19) (..)

STEMI

STEMI Coronary CPR ACS

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Repost this one

Dr. Smith's ECG Blog

NOVEMBER 23, 2017

A Middle-Aged Man with crescendo angina ► October (14) ► September (10) ► August (21) ► July (14) ► June (9) ► May (10) ► April (12) ► March (16) ► February (5) ► January (11) ► 2016 (142) ► December (8) ► November (16) ► October (10) ► September (9) ► August (..)

E-9-1-1

E-9-1-1 STEMI Coronary CPR

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Early repol with increasing STE, formula values very low, angio negative.

Dr. Smith's ECG Blog

DECEMBER 6, 2017

. ► November (19) ► October (14) ► September (10) ► August (21) ► July (14) ► June (9) ► May (10) ► April (12) ► March (16) ► February (5) ► January (11) ► 2016 (142) ► December (8) ► November (16) ► October (10) ► September (9) ► August (12) ► (..)

STEMI

STEMI Coronary CPR ACS

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QUIZ IMAGES

Dr. Smith's ECG Blog

SEPTEMBER 8, 2023

. ► August (6) ► July (14) ► June (14) ► May (16) ► April (13) ► March (16) ► February (9) ► January (10) ► 2022 (159) ► December (14) ► November (13) ► October (16) ► September (13) ► August (11) ► July (11) ► June (13) ► May (14) ► April (16) (..)

STEMI

STEMI Coronary CPR ACS

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Maros case of v fib arrest with prehospital RBBB inf MI fake out, ED inferior STEMI, coincidental aortic dissection

Dr. Smith's ECG Blog

OCTOBER 30, 2020

. ► September (18) ► August (11) ► July (20) ► June (13) ► May (12) ► April (9) ► March (9) ► February (12) ► January (22) ► 2019 (181) ► December (11) ► November (16) ► October (12) ► September (11) ► August (18) ► July (19) ► June (16) ► May (..)

STEMI

STEMI ED Coronary CPR

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

FEBRUARY 4, 2024

. ► January (17) ► 2023 (162) ► December (17) ► November (12) ► October (16) ► September (19) ► August (6) ► July (14) ► June (14) ► May (16) ► April (13) ► March (16) ► February (9) ► January (10) ► 2022 (159) ► December (14) ► November (13) ► (..)

STEMI

STEMI Coronary CPR ACS

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STD V2-V5 but only a bit more than in previous ECG. is it posterior MI?

Dr. Smith's ECG Blog

JANUARY 8, 2021

. ► 2020 (187) ► December (23) ► November (17) ► October (21) ► September (18) ► August (11) ► July (20) ► June (13) ► May (12) ► April (9) ► March (9) ► February (12) ► January (22) ► 2019 (181) ► December (11) ► November (16) ► October (12) ► (..)

STEMI

STEMI Coronary CPR ACS

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

SEPTEMBER 27, 2017

. ► August (21) ► July (14) ► June (9) ► May (10) ► April (12) ► March (16) ► February (5) ► January (11) ► 2016 (142) ► December (8) ► November (16) ► October (10) ► September (9) ► August (12) ► July (6) ► June (11) ► May (11) ► April (8) ► (..)

STEMI

STEMI Coronary CPR ACS

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Brugada from Lichtenheld

Dr. Smith's ECG Blog

MAY 26, 2024

► April (13) ► March (13) ► February (16) ► January (17) ► 2023 (162) ► December (17) ► November (12) ► October (16) ► September (19) ► August (6) ► July (14) ► June (14) ► May (16) ► April (13) ► March (16) ► February (9) ► January (10) ► 2022 (..)

STEMI

STEMI Coronary CPR ACS

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Jonathan Bedford in DSECGB email

Dr. Smith's ECG Blog

AUGUST 3, 2016

► July (6) ► June (11) ► May (11) ► April (8) ► March (16) ► February (12) ► January (23) ► 2015 (188) ► December (16) ► November (16) ► October (15) ► September (15) ► August (20) ► July (13) ► June (15) ► May (11) ► April (19) ► March (21) (..)

STEMI

STEMI Coronary CPR ACS

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High lateral MI on serial prehospital ECGs, in high lateral folder

Dr. Smith's ECG Blog

MARCH 23, 2015

A 50-something male with Dyspnea ► February (9) ► January (18) ► 2014 (151) ► December (15) ► November (15) ► October (11) ► September (15) ► August (11) ► July (13) ► June (8) ► May (12) ► April (14) ► March (13) ► February (9) ► January (15) ► 2013 (120) (..)

STEMI

STEMI Coronary CPR ACS

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Great Case from John Larkin: Patient who just had a pacer placed

Dr. Smith's ECG Blog

SEPTEMBER 19, 2013

link] Posted by Steve Smith at 7:50 AM Email This BlogThis! Epigastric pain, Syncope, and Saddleback ST Elevation K.

STEMI

STEMI Coronary CPR ACS

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Clay Garthe case.

Dr. Smith's ECG Blog

SEPTEMBER 17, 2024

. ► August (11) ► July (16) ► June (14) ► May (16) ► April (13) ► March (13) ► February (16) ► January (17) ► 2023 (162) ► December (17) ► November (12) ► October (16) ► September (19) ► August (6) ► July (14) ► June (14) ► May (16) ► April (13) (..)

STEMI

STEMI Coronary CPR ACS

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Rowland Fischer case 2/22/20 of a fib RVR and inferoposterior -- very interesting

Dr. Smith's ECG Blog

JULY 27, 2020

. ► June (13) ► May (12) ► April (9) ► March (9) ► February (12) ► January (22) ► 2019 (181) ► December (11) ► November (16) ► October (12) ► September (11) ► August (18) ► July (19) ► June (16) ► May (17) ► April (16) ► March (19) ► February (..)

STEMI

STEMI Coronary CPR ACS

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Is this paroxysmal dysrhythmia the cause of your patient's symptoms?

Dr. Smith's ECG Blog

AUGUST 1, 2022

. ► July (11) ► June (13) ► May (14) ► April (16) ► March (15) ► February (10) ► January (13) ► 2021 (143) ► December (15) ► November (14) ► October (12) ► September (10) ► August (10) ► July (13) ► June (9) ► May (9) ► April (15) ► March (12) (..)

STEMI

STEMI Coronary CPR ACS

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Sept 2 post of Mustafa Alwan on EKG club

Dr. Smith's ECG Blog

SEPTEMBER 6, 2016

. ► August (12) ► July (6) ► June (11) ► May (11) ► April (8) ► March (16) ► February (12) ► January (23) ► 2015 (188) ► December (16) ► November (16) ► October (15) ► September (15) ► August (20) ► July (13) ► June (15) ► May (11) ► April (19) (..)

STEMI

STEMI Coronary CPR ACS

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RVH mimicking MI

Dr. Smith's ECG Blog

SEPTEMBER 16, 2014

Inferior ST Elevation. BP 250/140.

STEMI

STEMI Coronary CPR ACS

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awesome repost:

Dr. Smith's ECG Blog

JANUARY 13, 2017

. ► 2016 (142) ► December (8) ► November (16) ► October (10) ► September (9) ► August (12) ► July (6) ► June (11) ► May (11) ► April (8) ► March (16) ► February (12) ► January (23) ► 2015 (188) ► December (16) ► November (16) ► October (15) ► (..)

STEMI

STEMI Coronary CPR ACS

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Fantastic anterior and inferior hyperacute T-waves from wraparound LAD

Dr. Smith's ECG Blog

AUGUST 1, 2017

. ► July (14) ► June (9) ► May (10) ► April (12) ► March (16) ► February (5) ► January (11) ► 2016 (142) ► December (8) ► November (16) ► October (10) ► September (9) ► August (12) ► July (6) ► June (11) ► May (11) ► April (8) ► March (16) ► (..)

STEMI

STEMI Coronary CPR ACS

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Nate case of STD with posterior WMA

Dr. Smith's ECG Blog

AUGUST 25, 2017

. ► July (14) ► June (9) ► May (10) ► April (12) ► March (16) ► February (5) ► January (11) ► 2016 (142) ► December (8) ► November (16) ► October (10) ► September (9) ► August (12) ► July (6) ► June (11) ► May (11) ► April (8) ► March (16) ► (..)

STEMI

STEMI Coronary CPR ACS

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Artifact

Dr. Smith's ECG Blog

MARCH 27, 2018

► February (16) ► January (15) ► 2017 (153) ► December (12) ► November (19) ► October (14) ► September (10) ► August (21) ► July (14) ► June (9) ► May (10) ► April (12) ► March (16) ► February (5) ► January (11) ► 2016 (142) ► December (8) ► (..)

STEMI

STEMI Coronary CPR ACS

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huge inf right lateral RV afib block vfib

Dr. Smith's ECG Blog

NOVEMBER 25, 2017

A Middle-Aged Man with crescendo angina ► October (14) ► September (10) ► August (21) ► July (14) ► June (9) ► May (10) ► April (12) ► March (16) ► February (5) ► January (11) ► 2016 (142) ► December (8) ► November (16) ► October (10) ► September (9) ► August (..)

E-9-1-1

E-9-1-1 STEMI Coronary CPR

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interesting left main case on FB

Dr. Smith's ECG Blog

APRIL 4, 2017

Wide complex tachycardia and an ICD that is not fi.

STEMI

STEMI Coronary CPR ACS

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ST depression due only to HTN, resolved with NTG, negative stress test.

Dr. Smith's ECG Blog

FEBRUARY 15, 2016

. ► January (23) ► 2015 (188) ► December (16) ► November (16) ► October (15) ► September (15) ► August (20) ► July (13) ► June (15) ► May (11) ► April (19) ► March (21) ► February (9) ► January (18) ► 2014 (151) ► December (15) ► November (15) ► (..)

STEMI

STEMI Coronary CPR ACS

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Simultaneous beats show how STE can be hidden in RBBB

Dr. Smith's ECG Blog

OCTOBER 1, 2022

Chest pain one day after a negative stress test Simultaneous beats show how STE can be hidden in RBBB ► September (13) ► August (11) ► July (11) ► June (13) ► May (14) ► April (16) ► March (15) ► February (10) ► January (13) ► 2021 (143) ► December (15) ► November (14) ► (..)

STEMI

STEMI Coronary CPR ACS