Last On: 9:56AM, 8 Dec 11
blair4630
  • Male
  • Hollidaysburg, PA
  • United States
  • Firefighter/Paramedic
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blair4630's Discussions

MCL1?
14 Replies

Started this discussion. Last reply by Rob Theriault Nov 29, 2009.

GMC 3500/Chevy 4500
5 Replies

Started this discussion. Last reply by Gul Dukat Nov 11, 2009.

Firehouse program for EMS runs

Started Sep 23, 2009

 

blair4630's Page

Latest Activity

Rob Theriault replied to blair4630's discussion MCL1?
"I wouldn't obsess over any one lead, but the discussion of MCL1 raises a point that I often try to impress on my students and colleagues - that is, don't get fixated on Lead II or any other single lead. I often get students and colleagues…"
Nov 29, 2009
Andy Tiernan replied to blair4630's discussion MCL1?
"As some have already pointed out, the MCL's were a sometimes valuable asset pre-12 lead cables or if you didn't have a monitor capable of doing the V1. I have been in the situation a few times with a LP10. Yes the vertical, bi-polar view…"
Nov 23, 2009
dr-exmedic replied to blair4630's discussion MCL1?
"There isn't, but that doesn't mean that it isn't done. :) I have actually seen the MCL1 label as well, though I don't recall whether it was on the wires themselves or on the monitors, but I didn't just pull that out of my…"
Nov 21, 2009
Ben Waller replied to blair4630's discussion MCL1?
"Tom, That was my point, with more detail - the fact that the extra lead was built in to some older monitors didn't make it a good - or smart - choice. "
Nov 21, 2009
Tom Bouthillet replied to blair4630's discussion MCL1?
"Chief - In theory, with a 5th electrode, there's no reason to use a dipole to mimic a precordial lead. With a 3-lead you can only view one lead at a time because the left over lead defaults to the ground lead. That's why you could only…"
Nov 21, 2009
Ben Waller replied to blair4630's discussion MCL1?
"Tom, It's been a while, but I have seen the 5th (brown) lead that actually was a bipolar lead designed to add MCL1 to the monitor selection. It is a poor substitute for an actual 12 lead ECG with unipolar chest leads, regardless."
Nov 21, 2009
Tom Bouthillet replied to blair4630's discussion MCL1?
"DrEx - I'm pretty sure the brown one is an actual unipolar lead V1 (or V2-V6 depending on placement). Tom"
Nov 21, 2009
dr-exmedic replied to blair4630's discussion MCL1?
"A lot of hospital telemetry packs use 5 leads, and the brown one is supposed to be MCL1--that's about the only place I've seen it. It's essentially useless for any ambulance with an actual 12-lead machine in the back (which is the…"
Nov 20, 2009
Mike Rubin replied to blair4630's discussion MCL1?
"That's a good point about diagnostic mode. The LP10 in monitor mode sometimes shows false ST elevation or depression. Thanks for that VT example."
Nov 20, 2009
Tom Bouthillet replied to blair4630's discussion MCL1?
"This is interesting. I just received correspondence this week from a medical team in Antarctica asking how to "modify a LP10 to obtain a 12-lead ECG". I explained to them how to obtain MCL-1 through MCL-6 and place the LP10 into…"
Nov 20, 2009
Mike Rubin replied to blair4630's discussion MCL1?
"I'm not aware of any advantage of MCL1 over V1. My understanding is that MCL1 is primarily an accommodation for a 3-lead monitor to help distinguish VT from SVT with aberrancy and, less importantly, left from right BBB."
Nov 20, 2009
The Cannulator replied to blair4630's discussion MCL1?
"MCL use was like a plague with a million experts. Using a bipolar lead to view a unipolar lead isn't completely acurate but can be useful at least at in showing some evidencfe onf ischemia. Thing is it became more a case of "let me show…"
Nov 20, 2009
Ben Waller replied to blair4630's discussion MCL1?
"MCL = Modified Chest Lead"
Nov 20, 2009
Gul Dukat replied to blair4630's discussion GMC 3500/Chevy 4500
"Here are the three types of Medium duty Ambulance chassis available for 2010 Ford F650/750 Diesel with SCR International 4100/4300/4400 Diesel with Advanced EGR Freightliner M2 Diesel with SCR"
Nov 11, 2009
Skip Kirkwood replied to blair4630's discussion GMC 3500/Chevy 4500
"We have been advised that the Top Kick / Kodiak line is going away."
Nov 10, 2009
blair4630's discussion was featured

Opinions on non-emergency transfers

I was reading someone's post in an unrelated thread that spoke of a pediatric trauma code waiting 30 minutes for a unit because multiple units were tied up on interfacility non-emergency transfers. It got me thinking about how much I hate them for that reason. Yeah, nobody likes to do them in general, but they make the service alot of money, which is a good thing for equipment, raises, trucks, etc. However, what are the costs of such practices? I've seen services drain all their trucks in one…See More
Aug 27, 2009

Profile Information

Employer/Affiliation
Firefighter/Paramedic
Primary Agency/Department Type
Volunteer Fire/EMS Department, Private EMS
Primary Department/Agency Name
AMED
Department/Agency Web Site
http://www.amedems.org
Years in EMS/Public Safety
6
Other Past or Current Departments
Hollidaysburg EMS
Clearfield EMS
Duncansville EMS
Hollidaysburg Vol. Fire Dept. (current)

Comment Wall (3 comments)

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At 7:12am on May 13, 2009, Skip Kirkwood said…
Surel.y. Give me a call a couple of days in advance of your visit and I'll fix you up. 919 785 0847
At 11:53am on March 10, 2009, Rob Lambert said…
Blair,

How are you doing? Just dropping a note to see if you want to swap patches. Let me know. Take care and be safe.

Rob
At 11:48pm on February 27, 2009, Andrew Hamp said…
Yeah i've had for awhile just no one to talk to
 
 
 
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