High Lateral STEMI

High lateral STEMI (ST elevation myocardial infarction). Localised leads I and aVL, reciprocal ST depression and T wave inversion inferior leads. The post High Lateral STEMI appeared first on Life in the Fast Lane. Go to Source Author: Dr Mike Cadogan Powered by WPeMatico

Podcast #122 – Pediatric Neurological Emergencies with Lawrence Berdan

Lawrence Berdan is a paramedic who has personally experienced the importance of recognizing and acutely managing pediatric neurological emergencies.  This post discusses some of the emergencies we may see in this uniquely challenging population. Both in EMS and in the ED, we are used to the “hustle and bustle” of the system.  Lawrence talks particularly

ACEM ASM Presentation 2018

Thank you to everyone who attended my ECG quiz at the ACEM ASM 2018 in Perth.I’ve been asked by a few people if I’d be willing to share the slides so I’ve put a link to them in pdf format below.https://drive.google.com/open?id=1iCGG_6fatrd5d4dkgAAMmhZtZBtwGZACSpecial thanks to my colleagues at JHC who constantly supply me with excellent ECG cases,


Unlearning is the process of abandoning or giving up knowledge, values or behaviour either unconsciously or deliberately The post Unlearning appeared first on Life in the Fast Lane. Go to Source Author: Dr Chris Nickson Powered by WPeMatico

Was the intern correct?

Written by Pendell Meyers, case submitted by Max Macbarb, edits by Steve Smith A 71 year old gentleman with history of CAD and PCI presented with acute chest pain and normal vitals signs.  He was triaged to the general area of the emergency department after an initial review of this ECG by a senior resident

Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?

This patient called 911 for chest pain.  The medics did an amazing job of recording serial ECGs. Time zero Hyperacute T-wave and subtle STE in aVL with Reciprocal ST depression (with reciprocally hyperacute T-waves!) in inferior leads.ST depression in V3-V6 typical of diffuse subendocardial ischemia. High lateral STEMI [typical of circumflex or first diagonal (D1) occlusion]? 

The call of the recliner

Paramedics tend to think of our job as being quite physical. It is, but maybe not in good ways. This is my step counter, as recorded by my phone. I keep it running in the background and my phone is always on me. Wednesday to Saturday I was off duty. Sunday to Tuesday I was