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 […]

51 Year Old Male: Chest Pain

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Here is a great case submitted by faithful reader Niels, a Paramedic in Germany. As always, some minor information may have been changed to preserve patient confidentiality. Our case today takes us overseas, to the German countryside. It's a clear blue Monday morning, 11:40 am, when you and your partner are called to a 51 […]

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 […]

52 year old male CC: Seizure

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You're working a QRV on a busy weekend, when you get dispatched for a "man down". No transport units are initially available, but a BLS crew from a neighboring town are on their way. Upon your arrival an officer on scene directs you inside to a man he says, "looks like he had a seizure". […]

What Happened?

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A 68 year old male, with no significant medical history, presents to the local ED (non-PCI) with chest pain. He had been doing some gardening, when he suddenly felt chest discomfort (8/10), non-radiating with diaphoresis. His wife drove him to the ED. Once there, he was given ASA and NTG, and the following ECG was […]

Treat the patient not the monitor?

Here at the EMS 12-Lead Blog, we love case studies. We love to post them, you love to read them, and many of you love to comment on them. Not only on this blog, but on other very good blogs that are out there as well. I think it’s a great way to learn, and […]

Snapshot Discussion: 32 year old Male–Chest Discomfort

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Here is the discussion for the Snapshot Case: 32 year old male–Chest Discomfort. Sorry for the delay. If you recall, we have a young patient, a 32 year old male, with a heart rate too rapid to count. He is alert and oriented, and has a good pressure (126/70). He has been in the following […]

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