Archive for August2017
Rapid Prehospital Evolution of STEMI
82 year old male, in good physical shape, stops at a cafe for lunch after cycling for an hour. Witnesses report a syncopal episode lasting approximately 30 seconds. Patient history significant for prior MI requiring 3 stents. No other significant history. Patient denies any CP, SOB, N/V, lightheadedness. In fact, he denies any complaints at […]
EMS 12-Lead
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kevin
80 Year Old Female: “Rapid Heart Rate”
RBBB - I.V., serial 12-leads, oxygen-etco2, position semi-fowlers, bilateral BP, patch EP for consultation if transport is 30 minutes.
2019-02-25 01:16:26
80 Year Old Female: “Rapid Heart Rate”
RBBB - I.V., serial 12-leads, oxygen-etco2, position semi-fowlers, bilateral BP, patch EP for consultation if transport is 30 minutes.
2019-02-25 01:16:26
Goran
80 Year Old Female: “Rapid Heart Rate”
No sinus rythm,but rather atrial flutter with Mobitz type 1 - Wenkebach phenomen
2019-02-20 15:29:04
80 Year Old Female: “Rapid Heart Rate”
No sinus rythm,but rather atrial flutter with Mobitz type 1 - Wenkebach phenomen
2019-02-20 15:29:04
Goran
80 Year Old Female: “Rapid Heart Rate”
It is regularly irregular rythm.It seems like Mobitz type 1 - Wenkebach ,secondary to sinus tachycardia.It is visible P wave in V1 lead.We should find primary cause of sinus tachycardia?
2019-02-20 15:17:14
80 Year Old Female: “Rapid Heart Rate”
It is regularly irregular rythm.It seems like Mobitz type 1 - Wenkebach ,secondary to sinus tachycardia.It is visible P wave in V1 lead.We should find primary cause of sinus tachycardia?
2019-02-20 15:17:14
Paul
80 Year Old Female: “Rapid Heart Rate”
On first glance it looks like afib rvr new onset. Without marching the qrs complexes out though, it looks like they are pretty regular, like an accelerated junctional rhythm with every 4th beat dropped. Looks like a p wave can be seen in v1/2, but not sure and I would print a longer strip out…
2019-01-22 13:42:57
80 Year Old Female: “Rapid Heart Rate”
On first glance it looks like afib rvr new onset. Without marching the qrs complexes out though, it looks like they are pretty regular, like an accelerated junctional rhythm with every 4th beat dropped. Looks like a p wave can be seen in v1/2, but not sure and I would print a longer strip out…
2019-01-22 13:42:57
Ken Grauer
58 Year Old Male, Workout Worry
@ Eli — I don’t see AFlutter. That is, I see no indication of regular atrial activity at a rate consistent with AFlutter. Instead, the rhythm is irregularly irregular without P waves = AFib at a controlled ventricular response. In my opinion, one doesn’t need Sgarbossa criteria here to activate the cath lab. So, yes the…
2018-09-13 02:09:24
58 Year Old Male, Workout Worry
@ Eli — I don’t see AFlutter. That is, I see no indication of regular atrial activity at a rate consistent with AFlutter. Instead, the rhythm is irregularly irregular without P waves = AFib at a controlled ventricular response. In my opinion, one doesn’t need Sgarbossa criteria here to activate the cath lab. So, yes the…
2018-09-13 02:09:24
