Category Archives:

"What Happened?"–Discussion

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This is the discussion to "What Happened?" You may wish to review the case here. Ok, let's review the initial 12 Lead: Just about everyone picked up on the infero-posterior STEMI. Where it got interesting for me, was determining what the rhythm was! At first glance, the rhythm was for the most part regular (note […]

What Happened?

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A 68 year old male, with no significant medical history, presents to the local ED (non-PCI) with chest pain. He had been doing some gardening, when he suddenly felt chest discomfort (8/10), non-radiating with diaphoresis. His wife drove him to the ED. Once there, he was given ASA and NTG, and the following ECG was […]

Treat the patient not the monitor?

Here at the EMS 12-Lead Blog, we love case studies. We love to post them, you love to read them, and many of you love to comment on them. Not only on this blog, but on other very good blogs that are out there as well. I think it’s a great way to learn, and […]

Snapshot Discussion: 32 year old Male–Chest Discomfort

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Here is the discussion for the Snapshot Case: 32 year old male–Chest Discomfort. Sorry for the delay. If you recall, we have a young patient, a 32 year old male, with a heart rate too rapid to count. He is alert and oriented, and has a good pressure (126/70). He has been in the following […]

Snapshot: 32 year old male–chest discomfort

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Here's a new snapshot case straight from the UK… We have a 32 year old male, normally fit with no history whatsoever. He has had a stressful week (personal issues), and decided maybe a 4 mile run might help. It didn't. When he returned home, he developed sudden onset of chest discomfort, and decided to […]

63 Year Old Male: "Dental Pain"

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Here is an interesting case submitted by Adam Frederick, NREMT-Intermediate.  As usual, some details have been changed to protect patient confidentiality. EMS is called to the local Urgent Care for a 63 year old male complaining of upper jaw pain related to "dental work". He had made two trips to the dentist this past week […]

Discussion for 58 year old male CC: Epigastric pain

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This is the discussion for our "Snapshot" case, 58 year old male CC: Epigastric pain. You may wish to review the case before continuing. Thanks to all of you, we had a lot of great comments! Many of you had wished we had a rhythm strip to analyze… keep in mind, this 12 lead is a […]

Snapshot: 58 year old male CC: Epigastric pain

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From time to time, we may have an interesting ECG, but without enough information (including final diagnosis) or additional ECGs to make a full case study.  In these instances, we will share the ECG and whatever information we have in our "Snapshot" series.  As always, some information may be changed to protect patient confidentiality.  Hope […]

Discussion to 63 year old female CC: Chest Pressure

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This is the discussion to 63 year old female CC: Chest Pressure.  You may wish to review the case.  Also, you may wish to review the two part discussions about WPW here and here. Thanks to those who commented for some very insightful comments! Let's revisit one of the pre-conversion 12 Leads: We can see […]

My experience at the Resuscitation Academy

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  Back in October, I was fortunate to attend the Resuscitation Academy in Seattle, WA. As many of you already know, the Academy is run by Seattle Medic One and King County EMS, with the goal of improving survival from out of hospital cardiac arrest. EMS directors, managers and medical directors convened for a three […]

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