The paradox of interpreting the ECG with a RBBB:
- Overt STE may be present, satisfying OMI/STEMI criteria, but it is not appreciated; or conversely
- The widened QRS of a normal RBBB ECG is misinterpreted as suggesting OMI/STEMI, despite normal ST segments.
A 🧵.
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Our crew have produced an aide-memoire to help ambulance paramedics manage the situation at the scene of a stabbing and get the patient on their way to hospital within five minutes of arriving.
Paramedics can view the aide-memoire at:
https://t.co/CPMbB6B9yz
What are the research priorities for Australian and New Zealand #paramedicine? Using systematic methods, we created and prioritised a stakeholder-informed, consensus-derived paramedicine research agenda. Read our open-access publication in @ParamedicineJ: https://t.co/ZfS09t8BpI
@armyemdoc Not the graveyard, just the back of the bus. Still effective as a splint. Need to get away from saying they tamponade bleeding and treat as nothing more than a splint.
A #MISSED dose of a Time Critical Medication can cause harm to #patients.
@AACE_org and @RCollEM have produced a poster specifically for #ambulance services.
Download it here: https://t.co/eJKeoO1qG0
1/ Today's 🧵 is about the #pacemaker basics.
The objective of this post is to clarify several doubts in a simple way. #CardioTwitter
I will explain it with simple steps and classic examples so you can understand better.
@ekgdx
Two Colorado paramedics found guilty of criminally negligent homicide in the death of Elijah McClain. A truly tragic patient encounter for Elijah. Below is a link to the detailed court reporting from Colorado Public Radio. Hopefully we can learn from this preventable death. 1/2
Reminder to watch the Webinar:
Beyond STEMI: Diagnosing Acute Coronary Occlusion on the ECG. The Queen of Hearts can do it for you!!
https://t.co/3SR3u4MgJs
The Webinar includes discussion of multiple ECG examples highlighting specific ECG findings that indicate either whether or not an acute OMI is present
@heli_med_james @emmajoyfulford I actually stopped wearing mine at the start of the pando, now using clock on zoll/hospital walls/ambulance dash/PC. Always at least 1 of those facing me at work 🥲 Agree banning them seems silly in light of long sleeves + winter though
This poster totally changed my practice. I was a 2.5mg at a time kinda guy because that's what everyone does, right? Changed to slow full dose and what a difference it makes to patients pain, along with IV paracetamol 👌 Had a patient with 8-9/10 pain and once at hospital, 2/10