PRN HealthCare Consultants - Basic to Advanced Life Support ConEd

Time Critical Diagnosis

Missouri Time Critical Diagnosis Chart<-- Click Here for
State of Missouri Time Critical Diagnosis information.  

To assure you are on the email list for meetings, updates and official State Training,  Contact 

This is a follow up to the link that was sent for the Missouri Emergency Medical System Time Critical Diagnosis Resources.  These are the documents that were shared in the [First Annual ] conference.  Please note that the documents contained within are subject to change, and will be updated as needed.Also, as needed, documents may be added to the resources. 

If you have any questions, please contact me. Thank you for your continued participation in the TCD System. 

Teresa Strange
Office of the DirectorDepartment of Health and Senior Services
912 Wildwood Drive
Jefferson City, MO  65109
Phone:  (573) 526-0723
Fax:  (573) 751-6041
*The following classes 12 Lead/STEMI Recognition, STEMI UpDate and Stroke UpDate were developed under contract with the Missouri DHSS & OPCRH 2010, updated to reflect changes to TCD practice

12 Lead EKG 

  • Basic ECG normal 
  • Brady / Tachy
  • AV Blocks
  • A Fib / A Flutter
  • V-Tach / SVT
  • V-Fib/V-Tach/ PEA/Asystole
  • 12 Lead placement
  • Normal 12 Lead

Current ST Segment Elevation Myocardial Infarction 
treatment guidelines as prescribed in Missouri Time Critical Diagnosis

  • Chest Discomfort
  • Women Presentation
  • 12 Lead Delays
  • Assessment
  • Treatments vs Cure
  • Drip vs Cath
  • Destination?!?

Stroke UpDate
Current Stroke treatment guidelines 
as prescribed in Missouri Time Critical Diagnosis

  • Presentation
  • FAST Exam
  • Time Seen
  • CT Scan STAT
  • Decide - Drip vs Cath
  • Destination?!?
The following classes provide additional learning to support time critical diagnosis care.

ECG & Meds
Introduction or review of ECG with discussion of related pharmacology.

  • Sinus/Tachy/Brady 
  • AV Blocks
  • A Fib / A Flutter
  • V-Fib /V-Tach /PEA/Asystole
  • Atropine / Epiniphrine
  • Adenosine / Beta Blockers
  • Amiodarone / Lidocaine
  • Diltiazem
Medications discussed depend on institution protocols and formularies.

Partial End Tidal CO2 monitoring basics to include normal ranges expected and waveform variations which indicate pathology. 

  • Hands on advanced airway for placement monitoring
  • PETCO used by your facility with hands on setup and trouble shooting
  • Simulates BVM while watching real time patient CO2 levels

Critical Infusion
Medication Infusion 
Calculations made easy 
and safe.

  • Vasopressors
  • Fluid Replacement
  • Electrolyte treatment
  • Sedation / Paralytic
  • Blood Products

  • Medications discussed depend on institution protocols and formularies.

    Targeted Tempurature

    Post cardiac arrest patients with neuro deficit benefit from at least 24  hours of induced hypothermia in a range of 32 to 36 C.
    How to safely induce hypothermia and treat hyperthermia in Critical Access hospitals and Rural EMS Services

    Hypothermia Protocol and Check list