2013 OR STEMI 
Peter Canning
JUNE 8, 2025
Would you believe that once upon a time in Connecticut, STEMIs were brought to the closest hospital regardless of capability.” They were still brought to the closest hospital rather than a thrombectomy capable hospital and I was saying this really should be changed like we changed the system for trauma and STEMIs. Again, true.
JEMS
JUNE 23, 2025
While this mechanism has enabled states to draw down billions in additional federal funds, CMS argues that it distorts the fiscal integrity of Medicaid by allowing states to effectively cycle federal dollars back to providers without a commensurate state contribution or measurable expansion of care for enrollees.
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Dr. Smith's ECG Blog
JANUARY 6, 2016
Some are STEMI-equivalents. Here are some basic concepts before we get into the ECGs: STEMI and NonSTEMI are arbitrary terms that may confuse the clinician. Inferior STEMI with AV Block, Cardiogenic Shock an. The QRS proves it. Posted by Steve Smith at 6:29 AM Email This BlogThis! Patient dies. Atrial Fib with RVR.
Dr. Smith's ECG Blog
NOVEMBER 16, 2016
Thus, the ACC/AHA 2013 STEMI guidelines now list diffuse ST depression, with ST elevation in aVR, as an indication for thrombolytic therapy. Here is her initial ED 12-lead ECG: There is atrial fibrillation with a rate of approximately 114. There is some STE in V1 and aVL, further suggesting left main involvement.
Dr. Smith's ECG Blog
JUNE 6, 2020
The differential is: 1) LAD occlusion proximal to the septal perforator with wraparound to inferior wall (that much STE in V1 is quite specific for septal involvement with anterior STEMI) vs. 2) Proximal RCA with RV involvement. Is it important to know whether this is LAD or RCA? Somewhat, but not hugely important. First, the 12-lead: 1.
Dr. Smith's ECG Blog
MAY 10, 2019
Some are STEMI-equivalents. Here are some basic concepts before we get into the ECGs: STEMI and NonSTEMI are arbitrary terms that may confuse the clinician. A Middle-Aged male with Chest Pain and an Unusual ECG Doctor, should we activate the hospital's "STEMI a. Disclaimer Cases come from all over the world.
Dr. Smith's ECG Blog
NOVEMBER 27, 2014
Some are STEMI-equivalents. Here are some basic concepts before we get into the ECGs: STEMI and NonSTEMI are arbitrary terms that may confuse the clinician. hours of chest pain Chest Pain and Right Bundle Branch Block Is this acute STEMI? Is this inferor STEMI? Disclaimer Cases come from all over the world. Patient dies.
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