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Time is Brain

Peter Canning

In 2014, we became an official stroke hospital, which meant we were now meeting rigid standards of care set by the American Heart Association. Would you believe that once upon a time in Connecticut, STEMIs were brought to the closest hospital regardless of capability.” We just weren’t quick enough. Not many hospitals were. Again, true.

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repost this one as QRS distortion

Dr. Smith's ECG Blog

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.

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Which patient needs a CT scan?

Dr. Smith's ECG Blog

She had this ECG recorded: Obvious massive anterior STEMI She was quickly brought to the critical care area and the cath lab was activated. Here is the ECG at 25 minutes: Terrible LAD STEMI (+) OMI So a CT scan was done which of course showed a normal aorta. This time the Queen of Hearts interpreted: No STEMI or Equivalent.

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Potassium 6.2 with narrow QRS: any indication for calcium?

Dr. Smith's ECG Blog

Peaked T waves: Hyperacute (STEMI) vs. Early Repolarizaton vs. Hyperkalemia Recognize subtle findings of hyperK and, if present, treat with Calcium immediately! HyperKalemia with Cardiac Arrest. References 1. Lindner et al. Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference.

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

Dr. Smith's ECG Blog

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. Patient dies.

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

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. Cardiologist declines taking patient to the cath lab.

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Article on STEMI vs. BER

Dr. Smith's ECG Blog

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. Severe RVH with large RV on echo, not a PE "I have food poisoning" Article on STEMI vs. BER Why is there ST depression in aVL in this case of. Patient dies.

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