41 Year Old Female: Chest Pain

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Here's an interesting case sent in by faithful reader Carl R. Christiansen, Paramedic, from Norway. As usual, changes have been made to protect patient confidentiality. It's an early Sunday morning when you are dispatched to a hotel for a 41 year old female with chest pain.  You and your partner enter the hotel room and […]

64 year old male CC: Indigestion – Discussion

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This is the discussion to 64 year old male CC: Indigestion. If you recall, we had a stubborn gentleman complaining of indigestion with a significant cardiac history. Considering the symptoms kept our patient awake, are highly suggestive of a coronary event, and we have uncompensated hypotension, we should have a keen interest on any ECG […]

Fun and games with response time reporting

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As I've mentioned on several different occasions, it's a huge mistake to wait until a tragedy occurs to explain the truth about response times to your community. Response times should be measured from the patient's perspective. In other words, from the moment the dispatcher picks up the phone and says, "9-1-1 what is your emergency?" […]

13 year old female CC: Syncope – Discussion

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This is the discussion for 13 year old female CC: Syncope. You may wish to go back and familiarize yourself with the details. The short of it is that on a very hot and humid day a 13 year old female passed out after looking at her sister's scraped knee. She had passed out at […]

Discussion to 63 year old male: chest pain – Wellens' Syndrome? Or something else…

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This is the discussion for 63 year old male: Chest Pain. Many of you thought the original 12 leads showed Wellens' Syndrome.  Lets review some key points about the T wave inversions of Wellens' for a moment: They occur when an occluded artery is reperfused, spontaneously or otherwise They are always recorded during a pain […]

13 year old female CC: Syncope

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EMS is called to a local hardware store for a 13 year old female with a possible seizure. On arrival the patient is found sitting outside at a picnic table. Her mother and father are both present. The ambient temperature is hot and humid. The patient's skin is very warm and moist but chalky. Her […]

64 year old male CC: Indigestion

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One of our faithful readers, Nicholas Eisele, sent in this interesting case study. As always, changes have been made to protect patient confidentiality. After a long night of car wrecks, you get dispatched right before shift change on a Sick Person call. As you arrive, your partner states she may have been here once or […]

Discussion to 60 year old male CC: "I don't feel well"

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This is the discussion for 60 year old male CC: "I don't feel well". Go back and familiarize yourself with the history and clinical presentation because it's important to the case (as it always is). Here is the rhythm strip and 12-lead ECG that was presented. You may recall from my series on ineffective or […]

New device allows you to assess BP with iPhone

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h/t Ubergizmo A new device by Withings will allow you to plug a BP cuff directly into an iPhone, iTouch or iPad. This could be very good for millions of people in the world who suffer from high blood pressure. See YouTube video HERE. We recently reported on the iCard ECG that will allow patients […]

63 year old male: chest pain

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David here, posting my first case on the blog… hope you enjoy, and Happy Father's Day! Here's an interesting case submitted by "Mike from Mass".  Some minor details have been changed to preserve patient confidentiality. EMS is dispatched to a residence for a 63 year old male with chest pain. Dispatch advises that a different […]

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