The Leads Less Traveled
Improvising in the absence of pre-hospital 12-lead EKGs
By Kelly Grayson

When I was a brand new medic, I was given an EKG pocket
reference called The Leads Less Traveled. The book was a small,
spiral bound compendium of non-traditional EKG lead placements,
written by a nurse/medic and fellow Louisiana boy named Rick
McCrory. Through that book, I learned a number of ways to make
my old LifePak 5 stand up and do tricks in the days when
pre-hospital 12-lead EKGs were still a fanciful dream for most EMS
systems.
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REGION XI
CHICAGO EMERGENCY MEDICAL SERVICE SYSTEMS
Calif. woman shot after stealing ambulance
Police shot woman wearing a hospital gown Sunday after she stole an ambulance and led
them on a chase

By Hudson Sangree
The Sacramento Bee
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2 Ark. paramedics suspended after wrongly pronouncing woman dead
MEMS launches investigation into weekend response call

By Faith Abubey
Todays THV 11
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Special Report: Coming Soon to an ED Near You: Bromo-
Dragonfly (Not an Insect), K2 (Not a Mountain), and Venus (Not
the Planet)
Gussow, Leon MD

A quarter of a century ago, it was relatively easy to stay current on drugs of
abuse. Things rarely changed. When I started practicing in 1985, the major
drugs available on the street had been the same for many years: Opiates,
cocaine, and phencyclidine (PCP) being the mainstays. These had all been
around for decades if not centuries, and they had all been used in medical
practice. Extensive scientific literature — clinical and experimental — described
their kinetics and toxicologic effects.

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Salvia divinorum: A Unique Hallucinogen Gussow, Leon MD

When Brett Chidester, a 17-year-old high school senior living in
Delaware, committed suicide earlier this year, his parents attributed
the tragedy in part to his use of Salvia divinorum, a little-known but
potent hallucinogen that is still legal in most states. Their belief,
although speculative, did gain some support from an essay Brett had
written about his experience with the drug. Salvia allows us to give up
our senses and wander in the interdimensional time and space, he
wrote. Also, and this is probably hard for most of us to accept, our
existence in general is pointless. Final point: Us earthly humans are
nothing.

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