Post your STEMI

[Trauma612]

Bored :roll:

Did a right side too but no copy... was evolving and had quite a bit more elevation on the last tracing but here's the the first one

6 hrs later Pt. # 2 :roll:

[akroeze]

Just wondering but with the first one and the depression in V1/2 did you happen to do a posterior ECG (v7-9)?

[Trauma612]

It crossed my mind but I got busy doing other thing's and then we were there.

Did I mention this was my first solo Medic shift ? :shock:

[akroeze]

It crossed my mind but I got busy doing other thing's and then we were there.

Did I mention this was my first solo Medic shift ? :shock:

Talk about trial by fire eh?

[spenac]

Congrats on the first solo.

[Trauma612]

14 call's in 24hrs, backed up on 3-4 run report's till about 1am, got out 1.5 hrs late.

And I was promised ALS naptime...WTF!?

[theotherphil]

Had this late last year. 61yom - could see he was having an MI as soon as we walked through the door, no need for monitor! Classic signs and symptoms right down to the "sense of impending doom".

Oxygen, 300mg Aspirin, 2mg Buccal GTN, IV access, 10mg Morphine, 5000u Heparin and 9000u Tenectaplase then transferred to local Coronary Care Unit.

Call to needle time of 12 minutes!

I checked back on this guy about 6 hours later and he was sat having a meal, pain free and looking well. ST changes had almost reverted. As far as I am aware, he was transferred for salvage PPCI.

As of 1st Jan, we can now directly admit for PPCI as the Hospital that performs it has now extended it's catchment area.

[akroeze]

Do you happen to have the right side? Or know if he was having an RVI?

[theotherphil]

Looking at the ECG, yes I maybe should have done a R side. I chose not to as the Systolic BP was 137mm/hg. This only dropped to 130 with GTN and Morphine over the short (< 0.5mile) journey to the Hospital.

I guess if the patient was hypotensive or if it was going to be a longer run into the Hospital, I would have done that R side ECG. I'm kicking myself for not doing it though....just for completion.

[fiznat]

Its actually a post-arrest 12 lead, but I think its safe to say that he's having an MI as well haha :shock: