2014 and Life Support - Paramedicine Now

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2014

Life Support

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Simulation Training as a Strategy for Workforce Retention in EMS

JEMS

JULY 3, 2025

1 The author’s employer, a Michigan-based life support agency, further represents clinician shortages, experiencing only a 70% retention rate of EMTs and a 77% retention rate of paramedics. 2 Life support agency executives must overcome these challenges through the implementation of a strong retention plan. Narayanan, A.,

EMS

EMS E-9-1-1 EMT EMT

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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

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 Thursday, November 27, 2014 A patient with chest pain.

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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Anterior ST Elevation - Is it STEMI?

Dr. Smith's ECG Blog

AUGUST 25, 2013

Blog Archive ► 2025 (109) ► June (18) ► May (25) ► April (19) ► March (13) ► February (11) ► January (23) ► 2024 (177) ► December (15) ► November (14) ► October (14) ► September (18) ► August (11) ► July (16) ► June (14) ► May (16) ► April (13) ► (..)

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

Delirium and Physostigmine: ECG helps in Management Weakness and Dyspnea with a Sine Wave. It's not w.

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

Delirium and Physostigmine: ECG helps in Management Weakness and Dyspnea with a Sine Wave. It's not w.

STEMI

STEMI Coronary CPR ACS

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RVH mimicking MI

Dr. Smith's ECG Blog

SEPTEMBER 16, 2014

Wang's Ladder Di. Case from Cardiology conference anterior and infer. .

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

Dr. Smith's ECG Blog

SEPTEMBER 19, 2013

Blog Archive ► 2025 (109) ► June (18) ► May (25) ► April (19) ► March (13) ► February (11) ► January (23) ► 2024 (177) ► December (15) ► November (14) ► October (14) ► September (18) ► August (11) ► July (16) ► June (14) ► May (16) ► April (13) ► (..)

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

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New type 2 STEMI from Prekker in email

Dr. Smith's ECG Blog

SEPTEMBER 14, 2014

ST elevation Unstable angina due to demand ischemia. Posted by Steve Smith at 12:23 PM Email This BlogThis! Wang's Ladder Di. Case from Cardiology conference anterior and infer. .

STEMI

STEMI Coronary CPR ACS