Couple simple questions

[austinmedic2004]

I'm a somewhat new medic in a fairly large urban department. I see there are lots of vetran medics here that I would like an opinion on regarding a few topics I have been thinkin' on.

1. Use of drugs in a pt. who codes on-scene/en route due to trauma


2. Use of 12 leads on pts. with pacemakers.

Appreciate the time. Thanks.

A 12-Lead on a patient with a pacemaker can still be diagnostic for the presence of a STEMI. You will have to look at ST elevation greater than the "global" elevation present with the paced rhythm. Much like it is still possible to see a STEMI in the presence of LVH, as the elevation will be significant in relation to the R-wave amplitude; usually greater than 5mm.