Here’s an interesting case study from a faithful reader named “Randy”.
EMS is called to evaluate a 76 year old female with a diminished level of consciousness.
On arrival the patient is found lying supine in bed moaning.
She is conscious but lethargic. She is oriented to person only.
She appears cyanotic around the mouth.
Past medical history: IDDM, CVA, MI
Meds: ASA, Baclofen, Atenolol
Breath sounds: diminished bilaterally
Vital signs are assessed.
SpO2: 78 on RA > 92 with O2 via NRB @ 15 LPM
Multiple ecchymotic areas are noted around the body. Discoloration is noted from the calf to the toes on the R side. No pedal pulse on R foot. L sided paralysis from previous CVA.
The cardiac monitor is attached.
A 12-lead ECG is captured.
What do you think is wrong?