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50 year old male CC: Chest pain – Discussion

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This is the discussion for 50 year old male CC: Chest pain. You may recall that the patient started experiencing chest pain during sexual intercourse. Many of you were appropriately concerned about the possible use of drugs for erectile dysfunction that would contraindicate nitroglycerin! Thanks for pointing that out. In this case the patient was […]

50 year old male CC: Chest pain

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Here’s a really interesting case submitted by “Anonymous from Ann Arbor, Michigan.” Wolverines! 🙂 Sorry, Buckeyes. EMS is called to the residence of a 59 year old male with a chief complaint of chest pain. Past medical history: Dyslipidemia Meds: Zocor The patient was given 600 mg ASA by the spouse prior to EMS arrival. […]

85 year old female CC: Respiratory distress – Discussion

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This is the follow-up and discussion for 85 year old female CC: Respiratory distress. As usual, thank you for all the insightful comments! The case demonstrates some very important points not the least of which is that the differential diagnosis of shortness of breath can be difficult, even for emergency physicians who have access to […]

85 year old female CC: Respiratory distress

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EMS is called to a local nursing home for a 85 year old female with a chief complaint of respiratory distress. On arrival the patient is found lying in bed in obvious distress. Respirations are 40 and shallow with a prolonged expiratory phase and accessory muscle usage. Auscultation of the chest reveals a poor tidal […]

April 2011 EMS 12-Lead case at EMS1.com – The Path (More) Traveled

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Part I of the April 2011 EMS 12-Lead column is now posted at EMS1.com. The Path (More) Traveled – Part I Enjoy!

78 year old male CC: Dizziness – Conclusion

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There were so many great comments on this case, including some great discussion on classifying wide complex tachycardias!

Special episode of the EMS Research podcast recorded live from EMS Today 2011

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In this special episode of the EMS Research podcast Tom Bouthillet and Tim Noonan (RogueMedic) interview Dave Hiltz (Heart Safe Community) and Lynn White (Heart Rescue Project) about best practices to optimize survival from sudden cardiac arrest. Download the full episode at the ProMed Network here.

78 year old male CC: Dizziness

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Out front you are met by the patient’s wife, who frantically directs you inside…

54 year old female CC: BLS intercept – Conclusion

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This is the conclusion to 54 year old female CC: BLS intercept. I did not expect to get so many comments! Great discussion on many points. It even afforded an opportunity to review atrioventricular blocks. Going back to the case let’s look at the initial 12-Lead ECG. As many readers noted, there is a lot […]

Second Degree or Third Degree Atrioventricular Block?

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Take another look at the rhythm strip from the current case study, “54 year old female CC: BLS Intercept”: As many readers have pointed out, there exists some level of atrioventricular block. The question then is, which one is it: is it a second degree AV block or a third degree AV block? In order […]

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