Remove Nursing Remove STEMI Remove Stenosis
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Hypertrophic Cardiomyopathy

EMS 12-Lead

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. As it currently stands, an ST/S ratio >15% should raise awareness for new anterior STEMI.

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Watch what happens when "pericarditis" and morphine cloud your judgment

Dr. Smith's ECG Blog

At 0800 the cardiology fellow is called to the bedside by the nurse as the patient again complains about 4/10 chest pain. Despite ongoing chest discomfort and an uptrending troponin, he never meets STEMI criteria. Despite having acute coronary occlusion by cath, his ECGs never met STEMI criteria. ng/mL (mildly elevated).