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Name that ECG: 88 year old male

Today our goal is to interpret the ECG to its fullest from a "cold read" perspective. We're giving you the patient's age, chief complaint, and ECG…and that's it! 88 year old male, weakness. Rhythm: Rate? Regularity? P-waves? PR interval? Associated? QRS width? Bonus points: Axis? QTc? Bundle branches? ST/T-wave changes? What are your differentials? Posts which […]

Hyper-K and Shades of Grey

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Good morning all… It's a beautiful fall Sunday morning, and you and your partner are enjoying an nice cup of coffee. But of course, the tones go off, and you are called to the residence of a 52 year old female, "sick". You recognize the address, you've been there before.  Upon your arrival, you find […]

53 Year Old Male: Severe Leg Pain–Conclusion

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This is the conclusion to 53 year old male: Severe leg pain. You may wish to review the case. Before we begin, my apologies for the delay in posting this conclusion. I live in coastal NY, and we got hammered by Hurricane Sandy. It has taken me a little time to get all caught up. […]

51 year old female CC: Near Syncopal Episode – Conclusion

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This is the conclusion to a 51 year old female CC: Near Syncopal Episode. If you haven't read the first part we highly recommend it! When we left off, our crew was attending to a 51 year old female who had almost passed out in a stadium tunnel during a college football game. We received […]

51 year old female CC: Near Syncopal Episode

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This case comes from a reader who wishes to remain anonymous, as always details have been changed to protect patient and provider privacy. You're working an overtime shift at a college football game on a hot Saturday in August, when a man flags down your crew. You head on over and are directed into one […]

63 year old male CC: Substernal Chest Pain – Discussion

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This is the discussion for 63 year old male CC: Substernal Chest Pain, brought to you by Dr. Brooks Walsh of Mill Hill Avenue Command and Doc Cottle's Desk. Be sure to review the first part! When we last left off, our patient was a 63 year old male complaining of substernal chest pain which awoke […]

63 year old male CC: Substernal Chest Pain

Today we're presenting a case from our friend Dr. Brooks Walsh of Mill Hill Avenue Command and Doc Cottle's Desk. In fact, this case is being presented both for his readers and for ours! We hope you like it. You're working ED triage when a 63-year-old man walks in complaining of substernal chest pressure that […]

53 Year Old Male: Severe Leg Pain

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This great case was sent in by faithful reader Bryan Brzycki, a Medic from Beaufort County. As usual, some minor information may be changed to protect patient confidentiality. It's a cloudy fall morning when the tones go off and your unit is dispatched to the residence of a 53 year old male.  When you and […]

24 year old male: "Anxiety Attack" – Conclusion

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This is the conclusion to our case 24 year old male: "Anxiety Attack". Be sure to read Part I before the conclusion! When we left off, our providers were on scene with a young man, in custody, who was pale and had a radial pulse too fast to count. A narrow complex tachycardia was present […]

Episode #10 – Brooks Walsh, M.D. from Mill Hill Ave Command

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EMS 12-Lead podcast – Episode #10 – Brooks Walsh, M.D. from the Mill Hill Ave Command blog  In this episode of the EMS 12-Lead podcast we're joined by Brooks Walsh, M.D., Emergency Physician and Editor of Mill Hill Ave Command and Doc Cottle's Desk. We discuss paramedic education, ECGs, blogging, science fiction doctors, "treating the patient […]

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