This is the conclusion to 66 year old female CC: Chest pressure. Let’s take another look at the 12-lead ECG. Let’s break this down 3 leads at a time starting with leads I, II and III. When you have artifact in a particular cardiac cycle you need to make a conscious effort not to let […]

66 year old female who was awoken from sleep with substernal chest pressure.

This is the conclusion to 71 year old male CC: Chest pain. Thanks for all the great comments! Let’s take another look at the 12-lead ECG. This 12-lead ECG shows acute anterior ST-elevation myocardial infarction. Significant ST-elevation is present in leads V2-V5, I and aVL with reciprocal ST-depression in leads III and aVF. A “STEMI […]

EMS is called to the residence of a 71 year old male with a chief complaint of chest discomfort. On arrival patient is found standing at the front door. He appears anxious and acutely ill. Skin is cool, pale and diaphoretic. Onset: “Fairly sudden” 30 minutes prior to 9-1-1 call Provoke: Nothing makes the pain […]

Let’s presume the chief complaint is chest discomfort.

I occasionally receive press releases of one kind or another in my inbox. If I think they may be of interest to my readers (or if I really like the product) I will post them but I do my best to cut through the marketing language and get to the nuts and bolts of the […]

Several of you indicated that you would capture a right-sided 12-lead ECG (or at least modified lead V4R).

You can “like” them on Facebook HERE. You can follow them on Twitter HERE. You may recall that I had the privilege of giving a presentation to the AHA’s Public Safety team at EMS Today 2011. Looks like they’re wasting no time engaging the EMS 2.0 community!

Here’s a cool case from a faithful reader named Mike M. EMS is called to evaluate a 79 year old female with a chief complaint of chest pain. Onset: Sudden while watching TV Provoke: Nothing makes the pain better or worse Quality: “Heavy” Radiate: The pain does not radiate Severity: 7/10 Time: About 30 minutes […]

Potentially the most significant advancement in the treatment of cardiac arrest since defibrillation!