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13 year old female CC: Syncope

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EMS is called to a local hardware store for a 13 year old female with a possible seizure. On arrival the patient is found sitting outside at a picnic table. Her mother and father are both present. The ambient temperature is hot and humid. The patient's skin is very warm and moist but chalky. Her […]

64 year old male CC: Indigestion

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One of our faithful readers, Nicholas Eisele, sent in this interesting case study. As always, changes have been made to protect patient confidentiality. After a long night of car wrecks, you get dispatched right before shift change on a Sick Person call. As you arrive, your partner states she may have been here once or […]

Discussion to 60 year old male CC: "I don't feel well"

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This is the discussion for 60 year old male CC: "I don't feel well". Go back and familiarize yourself with the history and clinical presentation because it's important to the case (as it always is). Here is the rhythm strip and 12-lead ECG that was presented. You may recall from my series on ineffective or […]

New device allows you to assess BP with iPhone

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h/t Ubergizmo A new device by Withings will allow you to plug a BP cuff directly into an iPhone, iTouch or iPad. This could be very good for millions of people in the world who suffer from high blood pressure. See YouTube video HERE. We recently reported on the iCard ECG that will allow patients […]

63 year old male: chest pain

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David here, posting my first case on the blog… hope you enjoy, and Happy Father's Day! Here's an interesting case submitted by "Mike from Mass".  Some minor details have been changed to preserve patient confidentiality. EMS is dispatched to a residence for a 63 year old male with chest pain. Dispatch advises that a different […]

AliveCor's iCard ECG for iPhone 3G, iPad and Android

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You may recall my previous reporting on the incredible iPhonECG (subsequently re-named the iPhone ECG) which caused quite a stir in the medical and gadget blogosphere. It's the third-most visited page in the history of the EMS 12-Lead blog (behind the lead placement charts and the notice that the 572 pound spokesman for the Heart […]

60 year old male CC: "I don't feel well"

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Here's an interesting case from an faithful reader who wishes to remain anonymous. Some changes have been made to help preserve patient confidentiality. This is a 60 year old male, who activated EMS for not feeling well. The call came in from a home way out in the county, and although it was dispatched as […]

57 year old female CC: Shortness of breath and chest pressure – Discussion

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This is the discussion for 57 year old female CC: Shortness of breath and chest pressure. Let's take another look at the 12-lead ECGs. I posed the following questions for this case: What do you think of these 12-lead ECGs? What is the most likely cause of the ST-depression and T-wave inversion. These ECGs show […]

Conclusion to 60 year old male CC: Sudden cardiac arrest

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This is the conclusion to 60 year old male CC: Sudden cardiac arrest. As you may recall the resuscitation was implemented using Adult Pit Crew CPR. This is not meant to miminize the importance of the chain-of-survival, including early activation of 9-1-1 and bystander CPR. Those links were intact for this case and that is extremely […]

57 year old female CC: Shortness of breath and chest pressure

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Here's an interesting case study from a faithful reader from Ann Arbor, MI who wishes to remain anonymous. Patient information Age: 57 Gender: F Chief complaint: SOB and Chest pressure constant 9/10 which woke her from sleep. Pt also vomited when she woke up and hands tingle. No radiation and nothing makes pain better or worse. Medical […]

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