Using 12 Lead to Rule Out MI: A bad move?

[tniuqs]

head up the poop chute

Is now formally declared an acceptable terminology unless it is not permissable to usurp DwayneEMTB the and his highly respected Dean of EMT city status? :shock:

From the latin: Occularorectal cranial inversion is a the preferred PC term, I believe ?

cheers

[tniuqs]

>Blah Blah Blah, more pointless drither.<

well lets just say that your lucky there a lady present

Yes we are there is an bright, shining star and I too could care less if one squats to pee or sprays indiscriminately.

Your Leaving ah PRICELESS !

That is the best news in my day appears this has not been a Total Waste of my time.

What was the topic again ?

[spenac]

Yes we are there is an bright, shining star and I too could care less if one squats to pee or sprays indiscriminately.

Your Leaving ah PRICELESS !

That is the best news in my day appears this has not been a Total Waste of my time.

What was the topic again ?

So with a 12 lead you are doing what? That was the topic wasn't it.

[tniuqs]

[align=center:8f9c73fd82]HELLOOO, think we could get back on thread ...?[/align:8f9c73fd82]

[align=center:8f9c73fd82]I DOUBLE DAWG DARE ANYONE TO DEBATE WITH ME HERE, YOUR DELAYING TRANSPORT AND HURTING YOUR PATIENTS ![/align:8f9c73fd82]

ps I always tell my kids, cursing is for those that have a very poor vocabulary.

My bad? yes sure hope my kids don't read this;

We have established that doing a 12 lead ie Rids comment that buy providing good information to ones Medical control that options for treatment could be fast tracked ...yes hes right but only in a system that has trust in it members of the health care delivery team! Dang I sure hope he is still following, but lets pull this back from the edge of oblivion, shall we Scara ?

SOoo if we are carrying and routinely using the 12 lead, even without bedside Troponin (albeit sure would be a cost effective way to advance Paramedicine and the next step up the ladder to delivery thrombolytics in the field, in many areas in the UK this IS the "street level reality" a 20 min delivery is optimal)

Heres my point and bit of personal PMHX, I can remeber the day when we carried the Artifact 5, we did ECGs on everyone, were they the patients benefiting NO!

We were self taught in many cases and we learned TONES of stuff, it opened our fossilized minds that we could become Paramedics and do more for those IF we only had the tools to do it.

Yes to shock that V Tach, defib that V fib, at will not that stupid plastic brain a technological fix that HAS put Paramedicine in the bushes We gained the respect of the ER RNS and MDs.

Slowly we advanced, SO do those 12 leads, learn learn learn, takes just a minute and down the dusty road we could gain the respect of the medical community and one MD at a time.

cheers

[Ridryder 911]

Wow! Go away for a few days and see what happens!

I guess it goes back on the intent of the caregiver. If you are interested in what is best for your patient, you will learn what is the "best" for your patient, not the best for you.

Even though, I used LP 5's, I knew I needed to view the heart from more than a couple of angles. Three lead is called a monitor lead for a reason. Many of us in that generation, realized we needed to perform a more in-depth direction to provide better assessment and thus better treatment. Even before Bob Page become popular, we realized that that .."those that view in three, cannot see".... It was not so much we could not educate ourselves, it was the technology would not allow us to be able fully assess. So yes, we learned multi-leads using the 9 lead method and moving leads around from MCl[sub:5271c31329]1[/sub:5271c31329] etc..

When I returned back to the field, I was appalled to find that even though my EMS had LP12 with XII lead capability, they were not using it. Confused and bedazzled, I could not understand the dilemma.

The only comment from the administrator had on this was:.."It won't change your treatment and only delay transport"...

I concluded," I would argue this if you truly understood cardiac care, but it is apparently you do not, thus I will not even debate this topic."

We implemented 12 leads as soon as the XII lead course was over the next week. :wink:

R/r 911