Best Batman movies.

Well the environmentalist wackos killed nuclear energy production and research. We were well on the way to nuclear Public transportation and trucking and…..

Continues monitoring can be helpful, yes.

Cool. So it is outperforming students. In telehealth network.

In a 3rd world country.

Additionally the article goes on to make several errors. I quote: “the S12L-ECG can provide a full evaluation of the cardiac electrical activity.”

This is not true. 15 lead EKGs are and have been for over decade a standard of care, especially if concern for a right sided MI, utilizing V4r, V5r, v6R. Then you have your 18 or more lead EKGs, that look at the posterior wall MIs.

Additionally, when you did farther. It becomes how simplistic the program is.

the S12L-ECG can provide a full evaluation of the cardiac electrical activity.

It only detects 6 “ abNormalities”: but when we break it down, only one even requires medical treatment based on the EKG, and the only other one that require treatment can be treated based solely on physical assessment.

First degree heart block. Sounds bad, but it just means it takes slightly longer for the electrical activity from the above AV node to travel through and below the AV node. It is an incidental finding. It isn’t treated, monitored,’or concerning.

Sinus tachycardia: drink to much Red Bull today? Go for a jog? Your in sinus tachycardia. It is just a normal sinus rhythm over >100. It isn’t concerning, and it isn’t treated (although the condition that caused it, such as pain; or dehydration, might be).

Sinus bradycardia: again, just a normal sinus rhythm, but slower then 60. It isn’t treated unless a person is symptomatic. IE; lightheaded or dizzy. Having chest pain due to hypotension. But you don’t need an EKG to tell you that. You could just take a pulse. Honesty, a pulse and blood pressure are more important. Treatment could be done entirely without an EKG, although cardiac monitoring would be preferable. You fix it with atropine, or you fix it would electrical stimulation (pacing)

Right and left BBB mean nothing, other then the normal electrical activity /pathway is abnormal. A LBBB makes it much harder to diagnose a STEMI (large heart attack) on the EKG.

There is a way to spot a mI on a patient with a LBBB, but I’ve read about it, studied it and can’t recognition it when I see it. I’m apparently not the only one; as the AHA recommendation is to treat it like. A heart attack unless is it KNOWN the patient has had a LBBB.

I don’t know anyplace that does this.

So….of those rhythms, only A-fib really la concern and gets treated. With blood thinners, and of course rate control.

Although I support the tech and hope it does well….30,000 dollar heart monitors routinely misdiagnose heart rhythms, especially acute changes.

I consider cardiology (not the basic stuff, stemis, blocks, etc etc) but the stuff in the weeds one of the harder parts of being a paramedic.

And I’d trust a paramedics interpretation way before a machines, at this point.

A third degree hard block is pretty obvious. Any ER doc, paramedic, or cardiologist could recognize it.

I suspect strongly, that you were not in a third degree block when they took the EKGs. Heart rhythms can be variable.

Upvote for the humor….but I promise from 2 decades of experience….what i said is true.

Yea….they are actuate.

As accurate as a cardiologist interpretation of the rhythm? I doubt it.

As good as a family’s docs? I’d bet better.

Life alert doesn’t have fall detection, and is almost always false activations.

Guess how many false activations it takes to get blacklisted from a 911 response. I’ve seen it be as few as 3.

And one way or the other, EMS is getting in. Deaf person doesn’t hear the doorbell, Knocking at 2 am? Unless they let their house unlocked, shit is getting broke to get in.

As a paramedic:

By your old family members an Apple Watch.

99% of medical alarms are false trips. Not only do they piss us off, generate paperwork, and sometimes a bill, we respond like they are the low priority calls they are.

Medical alarm companies almost never give us the information they have on file, or make an effort to determine if it is an accidental activation.

And one way or the other; we’re getting in the residence to make sure it wasn’t a real activation. If that means smashing a door/window, that is going to happen.

Which sucks when it went off because the person went to church and forgot to turn off the “no motion sensor”, or because it got remotely reactivated…and the patient is still in the hospital.

The agree with him. Taiwan is the lawful government of the Republic of China, which makes up not only the island, but the Main Land.

…..

The only way to oppose it is with other armed robots.

To be clear. The argument is that this is Not a federal issue, but a state one, and that the federal courthouse is not the proper place for a rent dispute case, which the judge is inclined to agree with.

From the article:

But U.S. District Judge J. Paul Oetken questioned whether the lawsuit belonged there and said he was inclined to dismiss it.

The Japanese may not have been great at being innovative, but that didn’t make them dumb.

Before the First World War they very carefully sent military experts to study every military in the world.

And then modeled the Navy after the British, and the Army after the Germans…which is telling, since most of the west considered the French the premier Army in the world before WWI.

And the Germany army that showed up was easily one of the top three armies mankind as every organized, in - long history of war.