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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
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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 (..)

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International Prehospital Medicine Institute Literature Review, July 2025

JEMS

The authors of this retrospective review investigate the efficacy of EFT over a 53-month period from May 1, 2018, to November 1, 2022, utilizing records and data from the Hungarian HEMS service. Rapid re-perfusion of the coronary arteries is essential to save at risk myocardium from infarction in patients with acute coronary artery occlusion.

E-9-1-1 98
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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
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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 (..)

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A 70 something female with chest pain (KG- done)

Dr. Smith's ECG Blog

The T wave changes that have occurred are widespread, and not in a typical coronary distribution. Each time the patient underwent cardiac catheterization — and each time, she had patent coronary arteries! Discussion : ECG #2 shows sinus rhythm with quite dramatic change in T wave morphology when compared to ECG #1.

ACS 52
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Interns are not (yet) poisoned by the STEMI/NSTEMI paradigm

Dr. Smith's ECG Blog

Coronary angiography before and after intervention is shown below. New PMcardio for Individuals App 3.0 now includes the latest Queen of Hearts model and AI explainability (blue heatmaps)! Download now for iOS or Android. There was high clinical suspicion and ongoing symptoms, so the cath lab was activated.

STEMI 70