Cardiac & Resuscitation

Troponin Levels Venturini JM, Stake CE, Cichon ME. Prehospital point-of-care testing for troponin: Are the results reliable? Prehosp Emerg Care. 2013;17(1):88–91. As a refresher, Troponin-I is a protein released into the blood stream when cardiac muscle dies. It’s especially useful in the diagnosis of myocardial infarctions that don’t have changes in their ECG, such as a non-STEMI.
Cardiac & Resuscitation

EMS & Sepsis The recent focus on prehospital identification of severe sepsis and lactate testing should remind us of the early days in ST-elevation myocardial infarction (STEMI) recognition and 12-lead ECGs. Those questioning the value of EMS and ALS argued that machines were too costly, that 12-lead interpretation—and the inevitable required transmission—was too difficult, and that the number of patients who would benefit was too small.
Airway & Respiratory

Surf rescue swimmer Doug Knutzen carries Charles “Dale” Ostrander to the shore of the Cranberry Road Beach approach Friday Aug. 5, in Long Beach, Wash. Rescue swimmers Eddie Mendez, left, and Will Green found Ostrander in the surf. According to an ABC “Good Morning America” report, the 12-year-old boy, who was under water for up to 20 minutes, had no pulse and wasn’t breathing when he was pulled out of the surf. Emergency responders performed CPR and started an IV.