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63 year old female CC: Chest Pressure

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Here's a case from a faithful reader who wishes to remain anonymous.  As usual, some information has been changed to protect patient confidentiality. You are called to transfer a 63 year old female from a community hospital to a large medical center. Upon arrival at the local hospital, you are confronted with chaotic scene. You […]

Discussion for 17 year old male CC: Chest pain and palpitations – WPW Part I

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This is Part I of the discussion for 17 year old male CC: Chest pain and palpitations. You may wish to review the case. If you recall from the case, our crew was performing an interfacility transport of a 17 year old male with a rapid, irregular tachycardia which required cardioversion. At the receiving facility […]

17 year old male CC: Chest pain and palpitations

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Here's a great case submitted by a faithful reader who wishes to remain anonymous.  Some details have been changed to ensure patient confidentiality. You are called to the local ER to transfer a 17 year old male to a large metro hospital for evaluation. Your patient  presented to the local ER with chest pain and […]

Discussion for 90 year old male cc: chest pain

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I hope you all had happy holidays! Here is the discussion for 90 year old male cc: chest pain.  You may wish to go back and review the case. So, let's get into the case!  There are the usual questions we need to answer as we try to determine the rhythm.  Is the rhythm wide […]

Elderly Female: Chest Pain-Discussion

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This is the discussion for Elderly Female: Chest Pain. You may wish to review the case. Ok, this was not an obvious case, at least, not until the end.  As far as the patient goes, I think we all agree about the differentials: ACS vs. possible aortic dissection (due to the pain radiating to her […]

Video: Axis Determination

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So you’ve read our blog, followed us on Facebook, submitted your own case studies, but you’re looking for more. You’re looking for the next big thing in EMS 12-Lead education. As a test run I’ve put together a video, shot Kahn Academy style using a pen and tablet, covering rapid axis determination. When I learned 12-Lead interpretation in […]

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