Archive for December2009

94 year old female CC: Chest Pain

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Here is an interesting case submitted by Billy Eskridge. EMS is called to an assisted living facility to evaluate a 94 year old female complaining of chest pain. History of present illness: Approximately 1 hour prior to EMS arrival, the patient had complained of a headache. A nurse gave the patient a Lortab. About 15 […]

Very funny commercial

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Rhythm Challenge #1

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What’s the heart rhythm? *** Update 12/28/09 *** Hint: These are certainly atrial complexes (blue arrows) but are they P-waves?

Review of Factors Associated With False-Positive Emergency Medical Services Triage for Percutaneous Coronary Intervention

I found an interesting article while surfing the internet this morning. Yamamoto Swan, Pamela BA, Nighswonger, Beverly RN, Boswell, Gregory L RN, & Stratton, Samuel J. MD, MPH. (2009). Factors Associated With False-Positive Emergency Medical Services Triage for Percutaneous Coronary Intervention. Western Journal of Emergency Medicine, 10(4), This is a retrospective analysis of 12-lead cases […]

57 year old male CC: Chest pain

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Here’s a very interesting case submitted by FF/medic Tim Porter (c/o a faithful reader). The patient is a 56 year old male with a chief complaint of chest pain. Onset: Approximately 30 minutes prior to EMS arrival Provoke: Nothing makes the pain better or worse Quality: Described as intense pressure Radiate: The pain does not […]

Watch your own heart attack

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“The most important two minutes you’ll ever see” by the British Heart Foundation. [youtube=] h/t EMdoc913 at Twitter

Be the beat!

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Very cool post by Dr. Wes this morning! Please go over and read it. The “Be the Beat” website is the coolest thing I’ve seen in a long time! Very nice effort by Medtronic and the American Heart Association! The videos from the website can also be found on YouTube. I love the rap! This […]

Scientist shocked by ICD at Copenhagen summit

Entry Img Henrik Svensmark is a 51 year old physicist who works for the Danish National Space Center located in Copenhagen, Denmark. According to, he is “one of the few scientific voices in the global warming debate who has actually done real research on the topic. His research has turned the global warming debate upside […]

77 year old male CC: Palpitations

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EMS is called to the residence of a 77 year old male complaining of palpitations. Upon arrival, paramedics find the patient lying in bed. He is awake but lethargic. He is oriented to person, place, and time. The patient’s skin is cool, pale, and diaphoretic. He admits to chest discomfort and mild shortness of breath. […]

STEMI Alert Protocol – Training PowerPoint

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This content is no longer available. See our comprehensive video-based 12-lead ECG course at ECG Medical Training.

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