article thumbnail

What can you find with continuous ST monitoring in the ED?

Dr. Smith's ECG Blog

The first EKG was concerning for a Wellen’s-like pattern of subtle reperfusion changes in the setting of stuttering anginal-equivalent symptoms, but none were diagnostic of STEMI or OMI. Later in the night, the patient became bradycardic and developed a Mobitz II pattern , but he remained asymptomatic and hemodynamically stable.

ED 116
article thumbnail

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. ST-segment Elevation Myocardial Infarction (STEMI) criteria have been the traditional method of cath lab activation.

E-9-1-1 98
professionals

Sign Up for our Newsletter

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

article thumbnail

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

JEMS

CMS’ 2022 guidance to State Medicaid Directors, CIB #08-17-2022, 6 laid bare its apprehensions, particularly surrounding capital expenditures, non-Medicaid transport costs, and unsupported indirect costs. There were 155,000,000 emergency department visits in the United States in 2022, 19% arrived via EMS. 2022, August 17).

EMS 116
article thumbnail

60-something with h/o Coronary Bypass has acute chest pain

Dr. Smith's ECG Blog

The Zoll algorithm impressively stated: STEMI A paramedic student had the PMCardio AI Queen of Hearts on his phone and this is what it reported: New PMcardio for Individuals App 3.0 There is a positive "Mirror Test" ( See My Comment in the September 21, 2022 post , among many others for more on the "Mirror" Test ).

article thumbnail

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.

STEMI 52
article thumbnail

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.

STEMI 52
article thumbnail

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.

STEMI 52