Angioplasty study

Quoted message said:

Subject: Angioplasty study
From: "Rich Shewmaker" [email hidden]
Date: 8/21/2003 9:09 AM Pa

Rich

I read this with dismay

thrombolytics THEN angioplasty is the way to go.....why wait to be
transferred...get checked in another ER...get a cath lab and team
ready..etc...whilst the myocardium is dying..not to mention the pain...

when my hubby had an MI..and the paramedics arrived..first question I asked is
WHERE will you take him?? and do they have a cath lab and OR backup??

yes to both...

within 15 minutes of getting the thrombolytic..he felt 90% better (relief of
pain is a good thing)..and then he had his cath..plasty..etc

certainly there is a risk giving a thrombolytic to someone who will need a
cath...actually they waited about 12 hours to cath him...and he did fine...

it was amazing to watch the ST's leveling out..and his vitals,,paleness etc
getting better...

hawki

the key seems to be to get FIRST to a hospital that has cath lab,,OR
backup..etc..

tho most of course can't control that...

hawki

--

"Hawki63" <[email hidden]> wrote in message
news:[email hidden]...

Quoted message said:

Quoted message said:

Subject: Angioplasty study
From: "Rich Shewmaker" [email hidden]
Date: 8/21/2003 9:09 AM Pa

Rich

I read this with dismay

thrombolytics THEN angioplasty is the way to go.....why wait to be
transferred...get checked in another ER...get a cath lab and team
ready..etc...whilst the myocardium is dying..not to mention the pain...

when my hubby had an MI..and the paramedics arrived..first question I

asked is

Quoted message said:

WHERE will you take him?? and do they have a cath lab and OR backup??

yes to both...

within 15 minutes of getting the thrombolytic..he felt 90% better (relief

of

Quoted message said:

pain is a good thing)..and then he had his cath..plasty..etc

certainly there is a risk giving a thrombolytic to someone who will need a
cath...actually they waited about 12 hours to cath him...and he did

fine...

Quoted message said:

it was amazing to watch the ST's leveling out..and his vitals,,paleness

etc

Quoted message said:

getting better...

hawki

the key seems to be to get FIRST to a hospital that has cath lab,,OR
backup..etc..

tho most of course can't control that...

hawki

In our hospital, the thrombolytics are going to be around awhile despite
these findings. The only way to get to a hospital with a cath lab from here
is by airplane, and it is just not possible to arrange for the air ambulance
and effect a transfer in two hours or less. Four hours is more realistic,
and sometimes we can't to that. We can and do administer the clot busters
quickly, though. In fact, last year we had the shortest average
door-to-needle time of any hospital in the U.S. The main reason we are so
quick is that we have no cardiologist here. So our ER docs don't have to
wait for a cardiologist to genuflect over the EKG before giving the drug.

--Rich

"Rich Shewmaker" <[email hidden]> wrote in message
news:[email hidden]...

Quoted message said:

--

"Hawki63" <[email hidden]> wrote in message
news:[email hidden]...

Quoted message said:

Quoted message said:

Subject: Angioplasty study
From: "Rich Shewmaker" [email hidden]
Date: 8/21/2003 9:09 AM Pa

Rich

I read this with dismay

thrombolytics THEN angioplasty is the way to go.....why wait to be
transferred...get checked in another ER...get a cath lab and team
ready..etc...whilst the myocardium is dying..not to mention the pain...

when my hubby had an MI..and the paramedics arrived..first question I

asked is

Quoted message said:

WHERE will you take him?? and do they have a cath lab and OR backup??

yes to both...

within 15 minutes of getting the thrombolytic..he felt 90% better

(relief

Quoted message said:

of

Quoted message said:

pain is a good thing)..and then he had his cath..plasty..etc

certainly there is a risk giving a thrombolytic to someone who will need

a

Quoted message said:

Quoted message said:

cath...actually they waited about 12 hours to cath him...and he did

fine...

Quoted message said:

it was amazing to watch the ST's leveling out..and his vitals,,paleness

etc

Quoted message said:

getting better...

hawki

the key seems to be to get FIRST to a hospital that has cath lab,,OR
backup..etc..

tho most of course can't control that...

hawki

In our hospital, the thrombolytics are going to be around awhile despite
these findings. The only way to get to a hospital with a cath lab from

here

Quoted message said:

is by airplane, and it is just not possible to arrange for the air

ambulance

Quoted message said:

and effect a transfer in two hours or less. Four hours is more realistic,
and sometimes we can't to that. We can and do administer the clot busters
quickly, though. In fact, last year we had the shortest average
door-to-needle time of any hospital in the U.S. The main reason we are so
quick is that we have no cardiologist here. So our ER docs don't have to
wait for a cardiologist to genuflect over the EKG before giving the drug.

Making a real virtue of necessity. BTW, how did an ECG
(electroCardiogram) become an EKG?

Peter Moran

--

"Peter Moran" <[email hidden]> wrote in message
news:[email hidden]...

Quoted message said:

"Rich Shewmaker" <[email hidden]> wrote in message
news:[email hidden]...

Quoted message said:

--

"Hawki63" <[email hidden]> wrote in message
news:[email hidden]...

Quoted message said:

>Subject: Angioplasty study
>From: "Rich Shewmaker" [email hidden]
>Date: 8/21/2003 9:09 AM Pa

Rich

I read this with dismay

thrombolytics THEN angioplasty is the way to go.....why wait to be
transferred...get checked in another ER...get a cath lab and team
ready..etc...whilst the myocardium is dying..not to mention the

pain...

Quoted message said:

Quoted message said:

Quoted message said:

when my hubby had an MI..and the paramedics arrived..first question I

asked is

Quoted message said:

WHERE will you take him?? and do they have a cath lab and OR backup??

yes to both...

within 15 minutes of getting the thrombolytic..he felt 90% better

(relief

Quoted message said:

of

Quoted message said:

pain is a good thing)..and then he had his cath..plasty..etc

certainly there is a risk giving a thrombolytic to someone who will

need

Quoted message said:

a

Quoted message said:

Quoted message said:

cath...actually they waited about 12 hours to cath him...and he did

fine...

Quoted message said:

it was amazing to watch the ST's leveling out..and his

vitals,,paleness

Quoted message said:

Quoted message said:

etc

Quoted message said:

getting better...

hawki

the key seems to be to get FIRST to a hospital that has cath lab,,OR
backup..etc..

tho most of course can't control that...

hawki

In our hospital, the thrombolytics are going to be around awhile despite
these findings. The only way to get to a hospital with a cath lab from

here

Quoted message said:

is by airplane, and it is just not possible to arrange for the air

ambulance

Quoted message said:

and effect a transfer in two hours or less. Four hours is more

realistic,

Quoted message said:

Quoted message said:

and sometimes we can't to that. We can and do administer the clot

busters

Quoted message said:

Quoted message said:

quickly, though. In fact, last year we had the shortest average
door-to-needle time of any hospital in the U.S. The main reason we are

so

Quoted message said:

Quoted message said:

quick is that we have no cardiologist here. So our ER docs don't have to
wait for a cardiologist to genuflect over the EKG before giving the

drug.

Quoted message said:

Quoted message said:

Making a real virtue of necessity. BTW, how did an ECG
(electroCardiogram) become an EKG?

Peter Moran

I don't know where that came from. I seen both abbreviations often. EKG is
common at Harvard, though.

;o) Rich

"Peter Moran" <[email hidden]> wrote in
news:[email hidden]:

Quoted message said:

Making a real virtue of necessity. BTW, how did an ECG
(electroCardiogram) become an EKG?

IIRC, the electrocardiogram was developed by a German researcher, who would
have spelled the latin term for "heart" as "kardio." Just as phylloquinone
and its relatives are called "vitamin K" because they're important for
"koagulation."

Peter Moran said:

Quoted message said:

Making a real virtue of necessity. BTW, how did an ECG
(electroCardiogram) become an EKG?

Peter Moran

English is a funny language. Flammible and Inflammible mean the same
thing......

Quoted message said:

"Peter Moran" <[email hidden]> wrote in
news:[email hidden]:

Quoted message said:

Making a real virtue of necessity. BTW, how did an ECG
(electroCardiogram) become an EKG?

IIRC, the electrocardiogram was developed by a German researcher, who would
have spelled the latin term for "heart" as "kardio." Just as phylloquinone
and its relatives are called "vitamin K" because they're important for
"koagulation."

How did you get to be so damn smart? ;-)

Quoted message said:

Subject: Re: Angioplasty study
From: "Peter Moran" [email hidden]

Quoted message said:

Making a real virtue of necessity. BTW, how did an ECG
(electroCardiogram) become an EKG?

Peter Moran

hmmmm Peter...I must be older than you!!

when I started in the early 60's it was EKG....some habits die hard!!

hawki

hawki

Rich Shewmaker said:

Quoted message said:

Making a real virtue of necessity. BTW, how did an ECG
(electroCardiogram) become an EKG?

Peter Moran

I don't know where that came from. I seen both abbreviations often. EKG is
common at Harvard, though.

;o) Rich

Have seen both also.

Thought it was of German origin: Kardio-
Not absolutely sure though.

"Hawki63" <[email hidden]> wrote in message
news:[email hidden]...

Quoted message said:

Quoted message said:

Subject: Re: Angioplasty study
From: "Peter Moran" [email hidden]

Quoted message said:

Making a real virtue of necessity. BTW, how did an ECG
(electroCardiogram) become an EKG?

Peter Moran

hmmmm Peter...I must be older than you!!

when I started in the early 60's it was EKG....some habits die hard!!

Relax. In England and Australia (where I have practised) it is has always
been ECG.

Peter

Quoted message said:

hawki

hawki

In article <[email hidden]>,

Ilsa9 said:

Peter Moran said:

Quoted message said:

Making a real virtue of necessity. BTW, how did an ECG
(electroCardiogram) become an EKG?

Peter Moran

English is a funny language. Flammible and Inflammible mean the same
thing......

Not exactly. The original term is "inflammable", meaning "able to be
inflamed", or set on fire. However, due to the illiteracy of the
population, many took the "in" to mean "not", therefore assuming that
the term meant "not able to burn." Thus, "flammable" was coined.

-- David Wright :: alphabeta at prodigy.net
These are my opinions only, but they're almost always correct.
"If I have not seen as far as others, it is because giants
were standing on my shoulders." (Hal Abelson, MIT)

Quoted message said:

In article <[email hidden]>,

Ilsa9 said:

Peter Moran said:

> Making a real virtue of necessity. BTW, how did an ECG
> (electroCardiogram) become an EKG?
>
> Peter Moran
>
>

English is a funny language. Flammible and Inflammible mean the same
thing......

Not exactly. The original term is "inflammable", meaning "able to be
inflamed", or set on fire. However, due to the illiteracy of the
population, many took the "in" to mean "not", therefore assuming that
the term meant "not able to burn." Thus, "flammable" was coined.

-- David Wright :: alphabeta at prodigy.net

Yes, but don't they mean the same thing? I've seen warning labels that
described the contents as "flammible" and others that describe their contents
as "inflammible"