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Defining Appropriate Responses in a Tiered System

High Performance EMS

Some computer-aided dispatch (CAD) software did better than others by considering the average travel time of an actual route instead of allowing nearness to be determined by a straight-line distance. It was a matter of determining which crew was available closest to the scene. Life-threatening requests are similarly streamlined.

BLS 264
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Quiz post: two patients with chest pain. Do either, both, or neither have OMI?

Dr. Smith's ECG Blog

Patient 2 A man in his 50s with history of CAD and prior PCI, diabetes, presented with acute constant chest pain for the past few hours. Triage ECG: It was interpreted as lateral STEMI, and he was sent to the cath lab, where the angiogram showed unchanged CAD from known prior, with no acute culprit. He was discharged home.

CAD 122
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Elder Male with Syncope

EMS 12-Lead

2. Coronary angiography reveals significant and severe CAD involving all three epicardial vessels. He awoke earlier that morning in his usual state of health. His confusion progressively dissipated enroute to the hospital. At the time of ED arrival he was alert, oriented, and verbalizing only a headache with a normalized BP.

Coronary 290
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Journal Feed Weekly Wrap-Up

EMDocs

Spoon Feed — After a cervical artery dissection (CAD), patients with occlusive dissection had a reduced rate of subsequent ischemic stroke if treated with anticoagulation rather than antiplatelet treatment. We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. N Engl J Med.

CAD 69
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ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 4

EMDocs

He has a history of CHF, dilated cardiomyopathy, HTN, HLD and CAD. These are very commonly encountered in the emergency department, so being able to correctly identify the rhythm is extremely important. Lets dive in! When you are presented with a tachycardic ECG, we want you to focus on two major factors right away. Take a look: Figure 3.

CAD 95
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How ESO EHR Makes Critical Care Documentation Easier

ESO

Connections with CAD, Billing, and Patient Outcomes Seeing the full picture of a patient’s care is key, and new technology is making the response for prehospital care faster and more efficient than ever. Real-time Access to Patient Data When every second counts, having the right information at the right time matters.

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Expert human ECG interpretation and/or the Queen of Hearts could have saved this patient's anterior wall

Dr. Smith's ECG Blog

A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. This is a re-post of an excellent case from 2021. See it again now, along with our new Queen of Hearts functionality. We've come a long way in 2 years! And the pace only quickens.

OR 134