Dr. Smith's ECG Blog

MAY 27, 2025

A 40-something male complained of 3 days of chest pressure. He called 911. He had some pulmonary edema and hypoxia. Here is the prehospital ECG: The computer says STEMI Based on this and the presence of chest pain, the medics did a prehospital activation of the cath lab. What do you think? Interpretation: There is clear atrial flutter. Look at the spikes in V1 at a rate over 300, which are flutter waves.

STEMI

JEMS

MAY 27, 2025

In mobile medicine, and across healthcare, mythmaking is alive and well.

Mobile Integrated Health

Life in the Fastlane

MAY 27, 2025

Helen Rimington Echo basics: Key concepts Echocardiography basics and the differences between 2D imaging, M-mode, pulsed wave Doppler, continuous wave Doppler, and tissue Doppler imaging.

EMergucate

MAY 27, 2025

Today’s ECG is from a 75yr old male patient.

EMS

EMDocs

MAY 27, 2025

Authors: Sarah McLeod (MS-4, University of Missouri-Columbia); Emmanuel Effa, MD (University of Calabar Teaching Hospital, Calabar, Nigeria); Jimmy Atyera, MD ( EM Resident Physician, Makerere College of Health Sciences, Kampala, Uganda); Jessica Pelletier, DO (APD/Assistant Professor of EM/Attending Physician, University of Missouri-Columbia) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case 64-year-old female with history of hypertensive heart disease presents to th

ED

REBEL EM

MAY 27, 2025

REBEL Rundown Key Points Decision rules help : 98% of c-spine CTs are negativerules reduce unnecessary imaging. Both NEXUS & CCR rule out >99% of serious injuries; CCR may lower imaging rates. NEXUS is simpler but excludes intoxicated patients and can’t clear midline tenderness. CCR is more validated , includes MOI, allows intoxication if alert, and can clear some with midline tenderness.

Emergency Department

California Casualty

MAY 27, 2025

You take pride in your car’s appearance—shiny, clean, and polished to perfection. But even the most careful car owner can fall victim to everyday threats that silently sabotage that showroom sparkle. From spilled coffee to sunbaked bird droppings, the dangers are everywhere. Here’s what to watch out for—and how to fight back. 1.

JEMS

MAY 27, 2025

William Skip Stephens has been selected as chief executive officer of the St. Charles County Ambulance District.

Ambulance

NVFC

MAY 27, 2025

Firefighters find themselves facing any number of scenarios when the tones go off. Seeing tragic events unfold on a monthly, weekly, or even daily basis can lead to long-term challenges such as post-traumatic stress disorder, anxiety, substance misuse, and depression. But these experiences can be the beginning of something extraordinary posttraumatic growth (PTG).

Firefighter

JEMS

MAY 27, 2025

British police were holding a 53-year-old man on Tuesday overa collisionthat turned a joyous soccer celebration in Liverpool to tragedy.

NVFC

MAY 27, 2025

The next chance to win a MSA Cairns 1836 Fire Helmet is just around the corner! The second entry period for the 2025 giveaway will be open from June 1-30. NVFC members who are active U.S. volunteer firefighters can enter for a chance to win this helmet, which combines a classic traditional look with modern features designed to meet todays fire service needs.

EMR

JEMS

MAY 27, 2025

A boat exploded at a sandbar in Fort Lauderdales Intracoastal Waterway on Memorial Day.

EMS

NVFC

MAY 27, 2025

2024 recipients: Elmore Fire Department in Lake Elmore, VT There are only a few days left to apply for the 2025 MSA and DuPonts Globe Gear Giveaway. Eligible departments have until June 1 to apply for a chance to receive four sets of Globe turnout gear and four MSA Cairns helmets. Thirteen departments will be awarded gear, for a total of 52 sets of turnout gear.

JEMS

MAY 27, 2025

A woman and a minor were hospitalized Sunday after their all-terrain vehicle struck a tree root and rolled over on private property inNewton.

EMS

NVFC

MAY 27, 2025

Safety Stand Down 2025 is taking place June 15-21, and all fire and emergency services departments are encouraged to suspend non-operational activities that week to focus on this years theme Break the Stigma: Behavioral Health RESET. These resources are now available to help you plan your activities and participate in this important event. Safety Stand Down Sweepstakes Quiz Take this 10-question quiz to test your knowledge on this years theme and be entered to win one of 200 limited edition ch

JEMS

MAY 27, 2025

AMemorial Dayshooting claimed two lives early Monday in West Baltimores Upton neighborhood.

NVFC

MAY 27, 2025

The National Firefighter Registry (NFR) for Cancer is once again open for enrollment. Earlier this year, staffing cuts at NIOSH disrupted several key firefighter health programs, including the NFR. The NVFC responded quickly by meeting with lawmakers, issuing an action alert, and joining other fire service organizations in urging Congress to restore these critical initiatives.

Firefighter

JEMS

MAY 27, 2025

A teenage boy is dead after falling off a trailer during aMemorial Dayparade inOhio, officials say.

EMS

NVFC

MAY 27, 2025

The Nextdoor Foundation is giving back to those who serve their local communities by awarding $1,500 grants to volunteer fire departments across the nation. Grants can be used for any needs the department has. To be eligible, departments must be at least 80% volunteer and have a valid 501(c)3 designation with the IRS. Eligible departments simply need to fill out this quick interest form to be considered for the award.

NVFC

MAY 27, 2025

Volunteer firefighters play a critical role in protecting their communities, and proper training is essential to prepare for any emergency. In this article for Fire Engineering, NVFC board member Brian McQueen discusses the importance of equipping volunteer responders with the tools, knowledge, and mindset needed to be combat ready, emphasizing the need for departments to strengthen their training programs, mentoring systems, and leadership roles.

Firefighter

NVFC

MAY 27, 2025

The application periods for two FEMA fire service grants are now open through July 3. The Staffing for Adequate Fire and Emergency Response (SAFER) grants support recruitment and retention of volunteer firefighters and the hiring of fulltime firefighters. Fire Prevention & Safety (FP&S) grants support projects that enhance the safety of the public and firefighters from fire and related hazards.

Firefighter

NVFC

MAY 27, 2025

The National Fire Academy (NFA) will reopen this June following months of advocacy from the fire service and support from the Capitol Hill. The NFA was temporarily closed on March 7 as part of the Administrations effort to evaluate its programs efficiency and alignment with their priorities. Many first responders around the country depend on training from the NFA, whether in-person courses at the campus in Emmitsburg, MD, courses brought to state and local training facilities, or online training

First Responder