Ischemia Nursing Thrombosis 
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. What’s interesting is that the ECG can only detect ischemia.
EMS 12-Lead
MAY 20, 2022
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review and commentary by Dr. Steve Smith [link] @SmithECGblog It is early-summer, approximately 1330 hours, no cloud cover overhead, and 86 degrees with high humidity. There is LBBB-like morphology with persistent patterns of subendocardial ischemia.
EMS 12-Lead
JUNE 20, 2022
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith @SmithECGblog I was conducting QA/QI on two very recent cases and was struck by the uniqueness of both. It’s important to stress the presence of a normal QRS (i.e., The pathology is now painfully evident.
EMS 12-Lead
AUGUST 14, 2022
David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic @DidlakeDW A 50 y/o Male was taking his dog for a leisurely stroll through the park when he suddenly experienced new onset chest discomfort. A second 12 Lead ECG was recorded: This is a testament to the dynamic nature of coronary thrombosis and thrombolysis.
Dr. Smith's ECG Blog
JANUARY 9, 2023
This case reminds me of this 27 year old totally healthy nurse who was previously healthy, presented with acute pulmonary edema and the below ECG that is diagnostic of proximal LAD occlusion, and was dismissed because of her age. This gets drilled into them. Was this coincidence? —
Expert insights. Personalized for you.
52 
Let's personalize your content