Owen Wood

U.S. Marine | Paramedic | Writer | Photographer | Adventurer | Teacher | Student | Father | 武士 | Follow/RT≠endorsement.

[Owen Wood @DitchDocEM]

For children with severe croup (stridor at rest), albuterol = no good. Neb 1:1,000 Epi, does NOT have to be racemic! #FOAMed #FOAMems #EMS

[Cciari1 @Frances98392343]

While not seeing OMI, I see signs of ischemia that prompted me to activate the cath lab, PCI LAD and D1

[Owen Wood @DitchDocEM]

@Frances98392343 I agree with @FibrilloFlutter and @Ecgloverr that it definitely has a MVD-ish appearance. After looking longer, it seems like it does localize, since the T wave amplitude is consistent across the precordium, but the QRS amplitude is reduced near the LAD & D1.

[Owen Wood @DitchDocEM]

@Frances98392343 Wow, that in a way, makes it even more strange for a 60 yo F. That was a good call activating the Cath lab, I think a lot of people would have disregarded given the (subtle at best) STD with T-waves that are terminally positive.

[Owen Wood @DitchDocEM]

@PowerfulMedical Wait.

[Owen Wood @DitchDocEM]

@IM_Crit_ I was about to take a nap, but not after watching this nightmare fuel 😬

[Owen Wood @DitchDocEM]

EKG obtained ~ 10 min after conversion with amiodarone (Pt was prescribed amio but was recently non-compliant).

[Owen Wood @DitchDocEM]

Old Man. Rhythm?

I’ll add a post-conversion #ECG in the comments shortly.

#FOAMed #EMS

cc @Ecgloverr @ecgandrhythmRoe @IrmaMDv @ECGEPSCADEVICE @JasonWinterECG @PMcardioApp

[Owen Wood @DitchDocEM]

@KKpvc44 @ECGEPSCADEVICE @Ecgloverr @ecgandrhythmRoe @IrmaMDv @JasonWinterECG @PMcardioApp Outstanding read!🔥 I didn’t even consider the deflection index. 👏

[Owen Wood @DitchDocEM]

@ToddBird13 @Ecgloverr @ecgandrhythmRoe @IrmaMDv @ECGEPSCADEVICE @JasonWinterECG @PMcardioApp Strong radial pulses, GCS 15.

[Owen Wood @DitchDocEM]

@Ecgloverr @ecgandrhythmRoe @IrmaMDv @ECGEPSCADEVICE @JasonWinterECG @PMcardioApp Thanks! I’ve been so busy I haven’t had a chance to jump on here. Got a backlog of interesting cases though!

It has some tricky features, but I think VT also.

[Owen Wood @DitchDocEM]

@AMigelheva @Ecgloverr @smithECGBlog @EM_RESUS Inferoposterior OMI, cath lab ASAP!

[Owen Wood @DitchDocEM]

@ecgandrhythmRoe @EcgsOnly @ECGEPSCADEVICE @ecgrhythms @ekgpress @ecgwatford @RobertHermanMD @EM_RESUS @The_Nanashi_O @OnlyEcg1 @FibrilloFlutter @PendellM @PMcardioApp @irmamdv @EagleEye2957

[Owen Wood @DitchDocEM]

20s M w/palpitations. What’s going on here?

Thanks to @Ecgloverr for reminding me I had this little gem. #EKG #ECG #Cardiology #Paramedic

[Pedram @Ecgloverr]

72 y/o smoker man with palpitations

Digitalized by @PMcardioApp

#ecg #ekg #cardiology #CardioEd #CardioTwitter #MedTwitter #foamed #cardiologist

[Dr. Andreas Roeschl @ecgandrhythmRoe]

A middle aged woman with crushing chest pain. What`s your take?
50 mm/s 🚦
@lila_enis

[Owen Wood @DitchDocEM]

#Prehospital #Airway Management. #EMS

[Jack Cahill @TheECGMedic]

😱😱 missing this is one thing … calling it a STEMI is another.

40F with CP
Off to resus and accepted for PPCI. Hmmmm.

[ECG.Hacks @EkgHacks]

67 yo male, no heart disease history. During rhinoplasty patient suffered hypotension and was treated by anesthesiologist with epinephrine bolus, then this happened... Would you actívate cathlab? What could be happening? #EkgChallenge

[Owen Wood @DitchDocEM]

@EkgHacks Given the context I would see how the EKG changes over several minutes. But if it doesn't normalize… “you're gonna need a bigger boat.” 😎