This is the conclusion to 81 year old female CC: Chest Pain. Due to a significant language barrier, we were unable to obtain a useful medical history. Yet this case highlights the importance of a good scene assessment to gain additional information of clinical importance. First, let's examine the patient's 12-Lead ECG. We have a bradycardic, […]

This is the conclusion to 68 year old male CC: Chest Pain. When we last left off, our patient was sitting outside a convenience store with a sensation of, "somebody punching me in the chest". Our patient had a fast, irregular pulse, and we had acquired a rhythm strip and a 12-Lead ECG. The rhythm strip shows […]

EMS is called to the residence of a 88 year old male patient with a chief complaint of chest pain. On arrival the patient is found standing at the front door. He appears anxious and acutely ill. Skin is pink and warm but diaphoretic. The patient is led to a kitchen chair and the assessment […]

Here is a great case from NYC Medic, hopefully you'll enjoy it as much as we did! It's a hot summer's night in the city when the tones drop to Assist Police reference a 10-34 (assault in progress) at a large apartment complex. You arrive and find two cruisers parked, with no officers in sight. A […]

Here is a great case submitted by a faithful reader who wishes to remain anonymous. As usual, details have been altered to ensure patient and provider confidentiality. Hurricane Irene has kept your night shift wet, windy, and you've bounced from one stranded motorist call to another. Dispatch chimes in and puts you out on a […]

This is the discussion for 46 year old female: injuries from a fall. You may wish to go back and review the case. To begin with, lets review the patient presentation.  Is there anything based on presentation that raises red flags for Acute Coronary Syndrome (ACS)? She is pale and diaphoretic, with nausea and vomiting. […]

Here's a great case submitted by "Phil"… As usual, some details have been changed to preserve patient confidentiality. It's 9 am, and you and your partner are called to an apartment complex for a 46 year old female, injuries from a fall which occurred the previous night.  You arrive to find the woman seated in […]

Here is the conclusion to 47 year old male CC: Crushing chest pain. You may want to go back and read the original case presentation to see how we got to this point. When we left off we had this rhythm on the monitor and surprisingly the patient was conscious and talking!  As usual there […]

Here's an awesome case submitted by Phil, an Intensive Care Paramedic from Australia. Some minor changes have been made to ensure patient confidentiality. EMS is called to a track and field event for a 47 year old male patient with chest pain. On arrival the patient is found lying on the grass with a cold, […]

This is the discussion for 89 year old female CC: Sick.  You may wish to go back and review the case. To begin, lets review one of the 12 leads: Many of you correctly identified this as a third degree block….however, the etiology of the block was at the time unknown, especially in light of […]