Author Archives: Vince DiGiulio

Dont let your bradycardic patient D.I.E.

Entry Img

At the risk of plagiarizing myself, I’d like to revisit a topic that I discussed on my personal blog a couple of years ago. The story goes that I am not very good with mnemonics. For me they are almost never useful in clinical practice, and as the patient gets sicker my chances of properly […]

Conclusion to Masters Case #02

Entry Img

This is the conclusion to Masters Case #02: 60 Year Old Female – Chest Pain, Hx of Pericarditis. If you haven’t already done so, check out the original post there.   Your patient was a 60yo F who experienced significant 8/10 chest pain that was now down to a 1 or 2 and presented with […]

Masters Case #02: 60 Year Old Female – Chest Pain, Hx of Pericarditis

Entry Img

***Update: The conclusion for this case is now posted here.*** This is the second in our occasional series of Masters Cases. These are some of the toughest ECG’s we have seen and that is reflected in both the level of responses that are expected along with the depth of the discussions that will entail. For […]

Conclusion to Masters Case #01

Entry Img

I apologize for the giant delay and I know it’s a pain when these cases are so spread out. This is the conclusion to Masters Case #01; be sure to check out the original post first if you haven’t yet done so. This was a tough one and I didn’t take the decision to call these […]

Masters Case #01: 50 Year Old Male – Severe Chest Pain

Entry Img

***Update: The conclusion for this case is now posted here.*** Most of our cases here at EMS 12-Lead are designed to strike a balance between challenging experienced prehospital providers while also highlighting a couple of specific teaching points for those seeking to learn. It’s a difficult line to walk. We want to showcase EKG’s with […]

Conclusion to Snapshot Case: 44 Year Old Male – Chest Tightness

Entry Img

This is the conclusion to the Snapshot Case located here. You may want to review the initial description again. As many readers correctly pointed out, this patient is experiencing a STEMI. Let's start with the basics and work our way up to some pretty advanced topics. First, there is anterior ST-elevation with upwardly-concave T-waves, as […]

Snapshot Case: 44 Year Old Male – Chest Tightness

Entry Img

Here's a new "Snapshot" case courtesy of Dr. Bojana Uzelac from Serbia… A 44 year old male presents with a chief complaint of tightness in his chest x 1 hour. He was on his way to a conference when it started and states: "It feels kind of like asthma. I've never been diagnosed but I […]

68 Year Old Male: Chest Burning – Part 2

Entry Img

This is the second installment in a multi-part case study; you may want to review the initial description of the patient’s presentation in Part 1. We’re going to save dissection of the ECGs for the next post and continue with his case… Here’s the patient’s initial ECG again: You start by administering 324mg of aspirin […]

68 Year Old Male: Chest Burning – Part 1

Entry Img

A 68-year-old male presents with a chief complaint of chest discomfort. It started at rest approximately three hours prior as has been constant ever since. He describes it as a burning sensation limited to the central portion of his chest. Nothing makes the pain better or worse and he rates it at about a 6 […]

Change your bookmarks!

Entry Img

I have gone to the dark side and joined the FireEMSBlogs.com family! The new blog goes “live” at 12:00 p.m. EST tomorrow, August 19, 2010. The new URL is ems12lead.com. Here’s a sneak peak. Special thanks to Chris Hebert (Go Forward Media) for helping me sort through the technical issues involved. Please update your bookmarks […]

Page 6 of 7« First...34567