It’s a sunny morning, and your EMS unit is dispatched to a residence for an 87 year old male with difficulty breathing.  You arrive on scene before the fire engine and enter the residence. Upon entering the bedroom, you find an elderly male, sitting on the edge of the bed, vomiting. He is alert and oriented x 4 (person, […]
Here is the latest from our "Snapshot" case collection.. This ECG was taken from a 45 year old female patient who had "off and on" chest pain for about 24 hours. The discomfort radiated to her left arm, and she complained of some "dizziness". She denies any associated SOB, or N/V. The discomfort worsened over […]
Ok, so we understand the basics of our Cardiopulmonary System for the most part, at least most of us reading this. But, if you don’t, DON’T WORRY, we can break it down in a few simple steps… Here we go!!! The Right Ventricle (RV) pumps blood to the lungs via the Main Pulmonary Artery Trunk which […]
"For heaven's sake man, treat the patient not the monitor!" Ahh, the angry cries appear every time we post a difficult case with a challenging ECG or treatment decision.. The attitude seems intractable, despite our best efforts. Over a year ago, I wrote "Treat the Patient not the Monitor?", and not much has changed […]
The original presentation of this case appeared as "What's Wrong with Mr. Wilson?"… You can read the original post here. Much has been written lately about RBBB abnormalities that were missed. Dr. Smith has recently posted two cases here, and here discussing this. First, let's review the 12 lead of a typical RBBB. When learning […]