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Blog and Discussion for Current ECG Interpretation Research

The Use and Impact of 12-Lead Electrocardiograms in Acute Stroke Patients

This systematic review investigated the impact of prehospital ECG on stroke patients. Eighteen studies were included. Although the prevalence of ECG abnormalities in the hospital environment appears to be common, there is a paucity of research investigating the use and impact of recording...

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Utility of Pre-hospital Electrocardiogram Characteristics

It has been theorized that presenting prehospital ECG could guide resuscitative efforts. 332 out of hospital cardiac arrests in PEA were prospectively enrolled. The rhythm was studied for HR, QRS interval and presence of P waves, and determined their impact on return of spontaneous circulation...

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Diagnostic value of prehospital ECG in acute stroke patients

Prehospital ECG in suspected CVA detected STEMI in 5.0% of 259 patients studied. Furthermore, in 18 cases new onset A-fib with direct clinical consequences was discovered on prehospital ECG. Cardiogram acquisition should be considered part of routine prehospital care for suspected...

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Association Between Use Of Pre-Hospital ECG and 30-day Mortality

Could the mere acquisition of a prehospital ECG in your chest pain patients decrease their mortality!? Turns out it can! This study used a one-to-one propensity matched cohort of a large group of prehospital chest pain patients. The odds of death in those who received and ECG compared to those...

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ST Elevation: Differentiation Between ST Elevation Myocardial Infarction And Nonischemic ST Elevation

Henry D. Huang, MD,a Yochai Birnbaum, MD from sciencedirect.com. Please note the downloadable pdf of the full article below. Abstract: It is well accepted that early reperfusion is beneficial in patients with acute myocardial infarction presenting with ST elevation (STE). Earlier studies...

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Effectiveness Of A Prehospital Wireless 12-Lead Electrocardiogram And Cardiac Catheterization Laboratory Activation For ST-Elevation Myocardial Infarction

Alain Tanguay, MD, Eric Brassard, MD, Johann Lebon, PhD, François Bégin, MD, Denise Hébert, BcSc-Infa, and Jean-Michel Paradis, MD The aim of the study was to determine the prevalence of false-positive and inappropriate cardiac catheterization laboratory (CCL) activation in patients suspected...

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ST-Elevation And Non-ST-Elevation Acute Coronary Syndromes: Should The Guidelines Be Changed?

An article by Anton P.M. Gorgels, MD, PhD, FESC, from sciencedirect.com. Please note the downloadable pdf of the full article below. Abstract: The 12 lead surface electrocardiogram (ECG) is an indispensable tool to identify acute coronary syndromes and the patient at high risk. Acute coronary...

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Electrical Silence – Promo Video

Hey everyone, Current ECG here. Did you know that it’s possible to have an ECG where it doesn’t show any changes, but you know that the history of presenting illness fits, the patient presentation sure fits, and you’re thinking this is acute coronary syndrome, but you’re not sure why you’re not...

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Cutting Edge ECG Interpretation: ‘The Current Reality’

This article appears in the June-July 2019 edition of Canadian Paramedic Association: https://canadianparamedicine.ca/featured-edition, pp.38-40 Paramedic ECG Interpretation Paramedics practice medicine in unpredictable environments thus necessitating the need to utilize a number of different...

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OMI Manifesto!! Is Here

Hey everyone, Current ECG here. This is a quick video for an article about the OMI Manifesto posted here earlier today. There’s a really new piece of information done by Dr Pendell Meyers, Dr Stephen Smith, Dr Steven Weingard, and it’s called the Occlusion Myocardial Infarction Manifesto. And...

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