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

JEMS

However, the program concluded earlier than planned, ending on December 31, 2023, two years ahead of its scheduled five-year duration. 2023, July). 2023, July 20). This early termination was due to lower-than-expected participation and fewer interventions than projected. References 1. Tax Policy and the Economy, 32, 135–172.

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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! As I emphasized in My Comment in the February 27, 2023 post in Dr. Smith's ECG Blog some patients may develop everything except QRS widening. HyperKalemia with Cardiac Arrest.

ALS 125
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Bubble Wrap PLUS – July 2025

Don't Forget the Bubbles

Characteristics and outcomes of children admitted to paediatric intensive care units with life-threatening pertussis infection in Great Britain 2023-2024. Acute Intraoperative STEMI in a Toddler. Arch Dis Child. 2025 Jun 27:archdischild-2025-328576. Calley J, et al. Arch Dis Child. 2025 Jun 27:archdischild-2025-328783. J Child Neurol.

E-9-1-1 93
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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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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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What does this ECG represent in the setting of "negative" troponins?

Dr. Smith's ECG Blog

Importantly, one trial of 925 consecutive STEMI-positive occlusion myocardial infarctions found that 26% had presentation troponin values < 99th percentile when then presented less than 2 hours from symptom onset and 14% had values < 99th percentile when they presented with symptoms for greater than 2 hours. Souce: McEvoy, John W.,