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Time is Brain

Peter Canning

In 2019, the title of our talk was Stroke Care: Past, Present and Future. Would you believe that once upon a time in Connecticut, STEMIs were brought to the closest hospital regardless of capability.” One of the best things about thrombectomies is they have extended the stroke window out to 24 hours. Again, true.

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International Prehospital Medicine Institute Literature Review, July 2025

JEMS

This was a retrospective study from the London Air Ambulance (LAA) service for the 21-year period from 1999-2019. ST-segment Elevation Myocardial Infarction (STEMI) criteria have been the traditional method of cath lab activation. The report AI software trained by experts being able to achieve 91% accuracy vs. 84% using STEMI criteria.

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The ‘One Big Beautiful Bill’—And the EMS Revenue Collapse No One’s Ready For

JEMS

EMS remains underrepresented in national health expenditure discussions despite its frontline role in emergency response, acute care triage, and time-sensitive interventions for trauma, stroke, and STEMI patients. Olivia Webb October 3, 2019 [link] 21. 2019, November). References 1. Pan American Health Organization. WA-23-0024).

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

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. hours of chest pain Chest Pain and Right Bundle Branch Block Is this acute STEMI? Is this inferor STEMI? Cardiologist declines taking patient to the cath lab.

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