This is the discussion for “70 Year Old Male: Short of Breath“. Tough case. Lots of excellent comments and observations from our readers. Right off the bat, the patient’s presentation offered a major distraction: the recent eye surgery resulting in the old “eye patch presentation”. Confounding the situation further was the lack of any cardiac […]

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 […]

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 […]

This is the conclusion to 74 year old female CC: Chest pain. As usual I enjoyed reading the comments! My goal is to get you guys thinking and it’s nice to see you discuss “stable versus unstable”, the need for sedation, and the importance of considering the Hs and Ts! Let’s take another look at […]

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There were so many great comments on this case, including some great discussion on classifying wide complex tachycardias!

Out front you are met by the patient’s wife, who frantically directs you inside…

Here’s a case submitted by Bob Sullivan, NREMT-P from New Castle County EMS in Wilmington, DE. The case occurred six years ago so certain details are missing. However, there is more than enough here to discuss the most relevant points about the case. The patient was a 12 year old male whose only complaint was […]

Here’s another great case submitted by Robert Bees. EMS is called in the very early morning to a 68 year old male complaining of chest pain and shortness of breath. On arrival, the patient is anxious and appears acutely ill. He is oriented to person, place, and time. Skin is cool, pale, and diaphoretic. The […]

EMS is called to the residence of a 77 year old male complaining of palpitations. Upon arrival, paramedics find the patient lying in bed. He is awake but lethargic. He is oriented to person, place, and time. The patient’s skin is cool, pale, and diaphoretic. He admits to chest discomfort and mild shortness of breath. […]