article thumbnail

OMI, NOMI, and EMS: The Case for EMS Recognition of Occlusive MI

NAEMSP

You load him in the back of your ambulance and acquire a 12-lead electrocardiogram (ECG) and it is as follows: You are 5 minutes from a local community hospital and 45 minutes from the tertiary care center with percutaneous coronary intervention (PCI) capabilities. Which hospital do you choose? This speaks to the true essence of the question.

EMS 69
article thumbnail

Emergency Evidence Updates – May 2025

The Bottom Line

The Journal of Emergency Medicine Neurologic etiologies of cardiac arrest are associated with early withdrawal of life-sustaining therapy Resuscitation Point of Care Echocardiography and Regional Wall-Motion Abnormalities in Acute Coronary Syndromes The Journal of Emergency Medicine Proximal venous ultrasound with risk stratification safely excludes (..)

professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Neonatal Hypotension

Don't Forget the Bubbles

Use with caution in neonates with coronary artery disease or chronic nephropathy due to the risk of ischemia and reduced renal blood flow. It is particularly useful in septic shock and should be considered when vasoplegia (low systemic vascular resistance) does not respond adequately to catecholamines. Patel, A., & Fanaroff, J.

OR 57
article thumbnail

repost this one as QRS distortion

Dr. Smith's ECG Blog

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 52
article thumbnail

Critical Care Evidence Updates – May 2025

The Bottom Line

A pilot randomized controlled study Journal of Critical Care Effect of Ketamine Analgosedation on Neurological Outcome in patients with Severe Traumatic Brain Injury: A Randomized Controlled Pilot Study Neurocritical Care Effects of a general practitioner-led brief narrative exposure intervention on symptoms of post-traumatic stress disorder after (..)

article thumbnail

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

Dr. Smith's ECG Blog

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 52
article thumbnail

Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

. ► 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 52