I first heard about this issue a couple of years ago in a webinar at the D2B Alliance website. Since then I have seen it several times in my own EMS system. I also mentioned it when I commented on: Review of Factors Associated With False-Positive Emergency Medical Services Triage for Percutaneous Coronary Intervention According to that […]
Here’s an interesting case submitted by Mike from Massachusetts. Here’s the story in Mike’s own words: EMS is contacted by a local rehabilitation facility for a female patient with a cardiac disorder. Initial dispatch is an ALS ambulance, ALS squad, and a BLS engine company. Approximately 20 minutes prior to EMS arrival, patient began experiencing […]
EMS is called to a local urgent care center for a 55 year old male with chest pain. On arrival, a patient care technician states that the patient is experiencing a hypertensive crisis. He has already received SL NTG x3 but his BP is still 180/118. The physician states that he is also worried about […]
Here’s the follow-up to 76 year old female CC: Diminished LOC. Be sure to check out all the awesome comments on the case! Let’s take another look at the 12-lead ECG. There’s something very unusual about this heart rhythm. It’s slow, there are no P-waves, and the QRS complexes are extremely wide (> 200 ms). […]