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Air Care Series: Acute Ischemic Stroke Updates
The treatment of Acute Ischemic Stroke is a rapidly evolving field with critical care transport medicine playing an increasing role in the treatment of these patients. Dr. Irankunda explores CCTM specific management and historical musts when treating this unique patient population. Dr. Gottula provides a brief review of the literature supporting IV alteplase and endovascular thrombectomy.
Grand Rounds Recap 12.18.19
Dr. Ham led off this week’s Grand Rounds reviewing cases from the month of November for our monthly Morbidity and Mortality conference. Dr. Chuko then led us through a deep dive on the diagnosis and treatment of male genitourinary disorders and was followed by Dr. Frankenfeld who led our small group discussion on STEMI equivalents. A battle of minds ensued between Dr. Gawron and Dr. Betz of an interesting case of traumatic rhabdomyolysis. Finally, Dr. Crook reviewed all of the latest important changes to the southwest Ohio EMS protocol.
STEMIs in Disguise
The 2013 ACC/AHA STEMI guidelines outline, with specific age and gender-related cutoffs for ST segment elevation in certain leads. While these are clinically important, there are several STEMI equivalents or EKG patterns that do not meet these criteria but should point the practitioner to consult with an interventional cardiologist. These STEMI equivalents are found in 10-25% of cases of coronary occlusion, making it imperative that emergency personnel be familiar with these patterns.