Recent content by d_miracle36

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    Wide Complex EKG

    I agree with everything you have said and considered it before posting. I should have been more thorough. I agree that a rate of 120 is low for vtach but its not unheard of. Although the pacer may be causing this, right now theres no way to know, is there? Do you have a follow up, or were you...
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    Wide Complex EKG

    How can you tell it is a paced rhythm? I see no pacer spikes. The patient has a wide complex tachycardia with negative concordance in all of the precordials and a positive QRS in avl. This appears to be vtach in my opinion.
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    Relocating to South Carolina

    Looking for employment near Myrtle Beach. My fiance is a PA and is relocating and so I must find a job. Would like places with 911 and progressive. Thank you for your input.
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    Teaser for Wake County episode of Code STEMI

    Great video Tom! Was just reviewing the video and their protocols. Really progressive. I am from Richmond, KY and I think one of my co-workers is trying to relocate to your area.
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    What method would YOU use to discern V-Tach from SVT with abbarency?

    I recently read that Lido is not a good diagnostic agent, and that it can cause v-tach to not be treated as such because it did not respond to lidocaine. What about in a patient who has no response to lidocaine, and you still don't know if it was SVT-A or V-tach? When do you just decide to...
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    What method would YOU use to discern V-Tach from SVT with abbarency?

    Christopher, In what cases would you give amiodarone?
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    instantaneous rigor

    Immediately after the patient arrested he was clinched during that period and it remained after rosc. I equated the trimsus with the seizure because I did not know any other reason. After researching on the Internet cadaveric spasm seemed more feasible. I thought I said that before but I may not...
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    instantaneous rigor

    I had a patient like this once but it remained after he was resuscitated. Thought that could have been a seizure but later found Cadaveric spasm's. I tried to explain to my director that I could not intubate because the patients mouth would not open. I was able to insert a king airway in shortly...
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    Name the Rhythm: 52 year old male

    Yes and as long as pt is stable I would push adenosine, then maybe I could make out p waves a little better.
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    Name the Rhythm: 52 year old male

    I'm still going with a flutter. Thought I saw some "blips" of p waves some buried in the t waves
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    Name the Rhythm: 52 year old male

    Haha sorry had to say it
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    Name the Rhythm: 52 year old male

    Treat the patient not the monitor?
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    Name the Rhythm: 52 year old male

    What about a-flutter?
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    Chest Pain (12-lead)

    I think it looks like a early mi and probably deserves Cath lab. Did you say there was dynamic ekg changes? I think with the changes in I and avl its pathological. Would rather Christopher or tom comment on the ecg though.
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    Hands On Defibrillation

    I tried to get this approved for me to try in our service, but now we have the lucas so we can just shock away.

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