Tag Archives: case study

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

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Here's an interesting case from an faithful reader who wishes to remain anonymous. Some changes have been made to help preserve patient confidentiality. This is a 60 year old male, who activated EMS for not feeling well. The call came in from a home way out in the county, and although it was dispatched as […]

57 year old female CC: Shortness of breath and chest pressure – Discussion

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This is the discussion for 57 year old female CC: Shortness of breath and chest pressure. Let's take another look at the 12-lead ECGs. I posed the following questions for this case: What do you think of these 12-lead ECGs? What is the most likely cause of the ST-depression and T-wave inversion. These ECGs show […]

Conclusion to 60 year old male CC: Sudden cardiac arrest

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This is the conclusion to 60 year old male CC: Sudden cardiac arrest. As you may recall the resuscitation was implemented using Adult Pit Crew CPR. This is not meant to miminize the importance of the chain-of-survival, including early activation of 9-1-1 and bystander CPR. Those links were intact for this case and that is extremely […]

57 year old female CC: Shortness of breath and chest pressure

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Here's an interesting case study from a faithful reader from Ann Arbor, MI who wishes to remain anonymous. Patient information Age: 57 Gender: F Chief complaint: SOB and Chest pressure constant 9/10 which woke her from sleep. Pt also vomited when she woke up and hands tingle. No radiation and nothing makes pain better or worse. Medical […]

60 year old male CC: Sudden cardiac arrest

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Here's a great case submitted by a faithful reader who wishes to remain anonymous. Some minor details have been changed to preserve patient confidentiality and some relevant comments and teaching points have been added. EMS is called to a barbecue festival for 60 year old male, unconscious and unresponsive, possible cardiac arrest. En route dispatch […]

May 2011 EMS 12-Lead column at EMS1.com – What in the wide world of sports?

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The May 2011 EMS 12-Lead column has been posted at EMS1.com. What in the wide world of sports? If you think you know what's wrong with the patient, leave a comment that includes 1.) your impression and 2.) your treatment plan at EMS1.com. If (in my completely arbitrary opinion) yours is "the best" you could […]

53 year old male with a suspicious ECG

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Here's another interesting case brought to my attention by the one and only David Hildebrandt. EMS is called to a local medical clinic to transfer a 53 year old male to the emergency department. It turns out the patient was in for a regular check-up. He appears to be in excellent physical condition and states […]

58 year old female CC: Chest pain – Conclusion

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This is the conclusion to 58 year old female CC: Chest pain. Let's take another look at the 12-lead ECG. Remember, ST-elevation needs to be explained, and if the etiology involves myocardial infarction, urgent time-sensitive decisions need to be made. In this case, we have ST-elevation in leads V1-V5, which suggests the possibility of acute […]

82 year old male CC: Shortness of breath – Conclusion

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This is the conclusion to 82 year old male CC: Shortness of breath. Let's take another look at the 12-lead ECG. This ECG shows a severe bradycardia. We need to ask a couple of very important questions. Is the patient stable or unstable? The patient is unstable. In fact, the patient is periarrest. We cannot […]

82 year old male CC: Shortness of breath

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Here's an interesting and somewhat unusual case submitted by a faithful reader who wishes to remain anonymous. EMS is called to the residence of a 82 year old male complaining of shortness of breath and weakness. On arrival the patient is found slumped sideways in a chair. He is weak and in significant distress, repeating, […]

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