EMS 12-Lead @EMS12Lead
12-Lead ECG Interpretation, Resuscitation, Time Sensitive Diagnoses. ems12lead.com Milky Way Galaxy Joined March 2010-
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Transcutaneous pacing (TCP) with false capture! Thanks to @christifulli88 for having @joshkimbre, @JMedic2JDoc, and me on the @FOAMfrat podcast to discuss this hot topic! 👇 foamfrat.com/post/podcast-1…
The first “episode” of “Between Two Nerds”, from EMS Lighthouse with @DrHeidiAbraham and @rpcrowe. What’s the value of EtCO2 in cardiac arrest? ems-lighthouse-project.transistor.fm/episodes/ep-83…
Florida EMS Webinar today at 11 AM EST Join us for an enlightening webinar presented by @joshkimbre and @JMedic2JDoc. This session will delve into the findings from their latest paper, "False Electrical Capture in Prehospital Transcutaneous Pacing by Paramedics: A Case…
Always capture a 12 Lead in the context of syncope. You never know what’s lurking underneath. #ECG #Cardiology #MedTwitter #FOAMed ems12lead.com/post/elder-mal…
67 y/o M with ongoing chest pain. Initial Trop I 0.410 ng/mL. ECG1 time-zero in ED. ECG2 previous on record. #ECG #CardioTwitter #MedTwitter #FOAMed #MedEd
16 years old boy presented to ED with chest pain. Cath lab or not? Culprit? @smithECGBlog @amalmattu @The_Nanashi_O @DidlakeDW @PendellM @EM_RESUS @narrowQRS
Atypical chest pain 5 hours 55 male Would you take him for Cath lab ? P.S pain settled down in the ED
A 25-year-old male with a history of flu-like illness 15 days back, presented to ED with shortness of breath and palpitation for 4 hours. What's the rhythm? @smithECGBlog @ECGWeekly @EcgsOnly @TA_ECG @ecgguru
The first in a series reviewing prehospital use of TCP from @joshkimbre and @JMedic2JDoc #ECG #CardioEd #FOAMed #MedTwitter #MedEd ems12lead.com/post/tcp-in-tr…
#ECG of a middle-aged man with sudden RSP. Is there a coronary culprit? If yes, is the vessel occluded and would you activate CCL? Happy Easter...
What lies beneath. Early 60’s F, worsening DOE, peripheral edema. #ECG #CardioTwitter #MedTwitter #MedEd #FOAMed
Worsening DOE, now with limitation. Very hypertensive. No reported history. #CardioTwitter #MedTwitter #FOAMed #MedEd
42 Southeast asian male, 1st episode of palpitations and syncope.
Dyspneic, hypoxic, and slightly febrile. No known medical history. Patient is 7 months old (not 12). #CardioTwitter #MedTwitter #MedEd #FOAMed
Most lead reversals are not that hard to spot, but still they are usually missed. Signed read makes no mention of LA-RL reversal. Leads I, II, and III should not be isoelectric. @Arron_Pearce_ @The_Nanashi_O @DidlakeDW @PacingSpike @ecgrhythms @ecgandrhythmRoe
Late 50’s Male. In the context of exertional syncope what do you suspect? #ECG #CardioTwitter #FOAMed #MedTwitter
50 y/o male found unresponsive outside. Fairly simple, but no less impressive #ECG
A 20 years old with palpitation and dizzines? @ecgandrhythmRoe @ECGEPSCADEVICE @ECGExperts @DrRazi4 @DidlakeDW @EcgOxford @ECGwithReid @EM_RESUS @ecgrhythms @EcgsOnly @PPodrid @UlhasDr @fxgodzeuss
#ECG One of my favourite ECGs. What is happening here?
Stephen W. Smith @smithECGBlog
54K Followers 497 Following Prof of EM at Hennepin. Originator (w @pendellM & @AslangerE) of OMI paradigm of acute MI, ECG diagnosis of OMI. https://t.co/jutZW7fHFa… #ECG
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54K Followers 497 Following Prof of EM at Hennepin. Originator (w @pendellM & @AslangerE) of OMI paradigm of acute MI, ECG diagnosis of OMI. https://t.co/jutZW7fHFa… #ECG
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Tom Bouthillet 🇺�.. @tbouthillet
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Ken Milne MD @TheSGEM
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Raviele Antonio @drraviele
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Kevin Collopy, MHL, F.. @ktcollopy
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Mike Abernethy 🇺�.. @FLTDOC1
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JEMS - EMS @jemsconnect
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10K Followers 4K Following Anesthesiologist, Author, Educator, Inventor. You’re never too smart to do something simple.Florida EMS Webinar today at 11 AM EST Join us for an enlightening webinar presented by @joshkimbre and @JMedic2JDoc. This session will delve into the findings from their latest paper, "False Electrical Capture in Prehospital Transcutaneous Pacing by Paramedics: A Case…
@AMigelheva @EMS12Lead If nothing makes you jump out of the chair, finding ST depression in lead aVL should do the trick 🚶🚶
@EMS12Lead Ecg would suggest some features of LVH on high lateral leads (R wave in aVL >11mm) ; with LA dilatation (negative p wave in V1) and LAD. Based on symptoms and ECG would consider; 1. Severe Aortic Stenosis 2. Long Standing Uncontrolled HTN 3. HCM ECHO will give the answer.
Ecg would suggest some features of LVH on high lateral leads (R wave in aVL >11mm) ; with LA dilatation (negative p wave in V1) and LAD. Based on symptoms and #ECG would consider; 1. Severe Aortic Stenosis 2. Long Standing Uncontrolled HTN 3. HCM ECHO will give the answer.
Late 50’s Male. In the context of exertional syncope what do you suspect? #ECG #CardioTwitter #FOAMed #MedTwitter
@EMS12Lead ①4th・6th beats are sinus beats. ②5th beat is ventricular escape beat. ③The other beats are junctional escape beats . ➥s/o High degree AV block with escape rhythm
@JMedic2JDoc and I are excited to share that our manuscript on false electrical capture in transcutaneous pacing was accepted to Prehospital Emergency Care. tandfonline.com/doi/full/10.10… @NAEMSP @tandfonline
Excited to share this awesome collaboration with @joshkimbre on false electrical capture in transcutaneous pacing. 🧵
@JMedic2JDoc and I are excited to share that our manuscript on false electrical capture in transcutaneous pacing was accepted to Prehospital Emergency Care. tandfonline.com/doi/full/10.10… @NAEMSP @tandfonline
50 M smoker. Right upper quadrant pain. Mimic or not? @The_Nanashi_O @EM_RESUS @PendellM @smithECGBlog @Arron_Pearce_ @ecgandrhythmRoe @FloydECGs @willyhfrick @DrRazi4 @DrLindaDykes @Asim_EMconsult @DrparrayMD @DidlakeDW @BrooksWalsh
I think tachycardia also can lead to chest pain; no OMI sign here🤲; #ECG shows: 1. NCT 2. 2 p waves with every 1 QRS 3. Negative P wave in Inferior leads with P wave passing the isoelectric line 4. Positive P wave in V1 🔺Typical Counter Clockwise Atrial flutter 2:1 block
Chest Pain. Hx CABG. #MedEd #MedTwitter #FOAMed #CardioTwitter
@EMS12Lead I'm looking hard for OMI but it is not abundantly clear to me from this. Most of the ST-T changes are due to the flutter waves. The rate alone, in such a pt with CAD could be producing demand ischaemia.
@CoolERPhysician @EMS12Lead LAD is dancing right now 😁
@EMS12Lead I think that this change seems to be "Baseline fluctuation due to breathing". ⇒s/o Normal change with noise due to breathing
@EMS12Lead The bizarre ST-T changes seem to be due to artefact and with lead I being the "most spared" of the bipolar leads and aVL being the most spared of the augmented leads, I think the left leg is the culprit. Definitely worth repositioning leads and repeating.
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