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A Change of Pace: What Happened?

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Here is a challenging case this morning to stretch your mind… You are called to a 71 year old male feeling "sick". He has not felt well for the past 24 hours. He describes feelings of "general aches and pains". He has history of heart failure, for which he has an AICD. His vitals are […]

Stump the Chumps: Atropine and Complete Heart Block – Discussion

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This is the conclusion to our special feature Stump the Chumps: Atropine and Complete Heart Block. If you've not seen the case, I recommend you go back and read it over. To recap, our crew had been dispatched to a 63 year old female who was lightheaded and happened to have a bit of a […]

Discussion for 51 Year Old Male: Chest Pain

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Here is the conclusion to 51 year old male: Chest Pain. You may wish to review the case. Here is the ECG again:   There is a regular sinus rhythm at a rate of about 70. The QRS is narrow. The axis is normal, at about 15 degrees. Let's take a look at the constellation […]

Stump the Chumps – Atropine and Complete Heart Block

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This great case was sent in by an anonymous reader posed as a question, the likes of which we had not seen before. So, to pay homage to a wonderful radio show signing off this year, we're calling this segment: Stump the Chumps! Our reader was dispatched to back up a crew attending to a […]

65 year old male CC: Fall with injury – Conclusion

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This is the conclusion to 65 year old male CC: Fall with injury. You may wish to review the history and clinical presentation. When we left off the patient was in severe heart failure with the following 12-lead ECG. As we have mentioned before on several occasions, the most important thing when treating a patient […]

65 year old male CC: Fall with injury

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Here's a very interesting case submitted by a faithful reader who wishes to remain anonymous. Some changes have been made to preserve patient confidentiality. EMS is called to a local breakfast restaurant for a 65 year old male who fell in the parking lot. He was reported to have suffered a head injury. On arrival […]

56 year old female CC: Short of Breath – Conclusion

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This is the conclusion to 56 year old female CC: Short of Breath. Be sure to check out the first post for the full story! When we left our crew they were just getting ready to leave the parking garage with a 56 year old female who was short of breath and dizzy after mild […]

56 year old female CC: Short of Breath

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Many thanks to an anonymous reader who submitted this great case! As always, some details have been changed to protect provider and patient privacy. You're dispatched to the parking garage of a busy shopping mall for a 56 year old female whom a 3rd party caller relates is, "short of breath". Upon your arrival you […]

52 year old male CC: Seizure – Discussion

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This is the discussion for 52 year old male CC: Seizure. Be sure to check out the backstory! We had lots of great comments for this case, and as always many of you were right on target. Let's take a look at the initial 12-Lead: We have a narrow complex tachycardia at 180 bpm, with […]

"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 […]

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