EMS 12-Lead

JULY 24, 2023

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (ret) @DidlakeDW Expert commentary and peer review by Dr. Steve Smith [link] @smithECGBlog A 57 y/o Female with PMHx HTN, HLD, DM, and current use of tobacco products, presented to the ED with chest discomfort. See Dr. Smith’s comments below.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

CardiacWire

FEBRUARY 7, 2025

Researchers were not able to assess unmeasured confounding factors such as biomarker levels, socioeconomic factors, nursing care level, and medication adherence. Despite these strong statistical findings , the studys authors do warn of a few potential weaknesses due to the retrospective nature of their data.

TAVR 59

TAVR Cardiogenic Shock Hospital Cardiac Arrest 59

Dr. Smith's ECG Blog

OCTOBER 8, 2023

Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. The patient died of cardiogenic shock within 24 hours despite mechanical circulatory support. Imagine you just started your ED shift. It's a busy Friday afternoon.

Ischemia 122

Ischemia Chest Pain Cardiogenic Shock Cardiac Arrest 122

Dr. Smith's ECG Blog

APRIL 9, 2025

1) as far as I can tell, there is very little data on amiodarone for this indication 2) amiodarone has beta blockade effects which could be deleterious in a patient with large anterior MI with pulmonary edema and at risk for cardiogenic shock (and she did go into shock. DOI: 10.1016/j.resuscitation.2025.110515

Defibrillator 64

Defibrillator Cardiac Arrest Myocardial Infarction STEMI 64