Tag Archives: case study

56 year old female CC: Short of Breath

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Many thanks to an anonymous reader who submitted this great case! As always, some details have been changed to protect provider and patient privacy. You're dispatched to the parking garage of a busy shopping mall for a 56 year old female whom a 3rd party caller relates is, "short of breath". Upon your arrival you […]

52 year old male CC: Seizure – Discussion

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This is the discussion for 52 year old male CC: Seizure. Be sure to check out the backstory! We had lots of great comments for this case, and as always many of you were right on target. Let's take a look at the initial 12-Lead: We have a narrow complex tachycardia at 180 bpm, with […]

"What Happened?"–Discussion

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This is the discussion to "What Happened?" You may wish to review the case here. Ok, let's review the initial 12 Lead: Just about everyone picked up on the infero-posterior STEMI. Where it got interesting for me, was determining what the rhythm was! At first glance, the rhythm was for the most part regular (note […]

52 year old male CC: Seizure

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You're working a QRV on a busy weekend, when you get dispatched for a "man down". No transport units are initially available, but a BLS crew from a neighboring town are on their way. Upon your arrival an officer on scene directs you inside to a man he says, "looks like he had a seizure". […]

Comparing 12-Leads: Discussion

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This is the discussion for Comparing 12-Leads: Common Error or Common Disease? All of our readers were on the right track, and many were spot on! Sometimes, troubleshooting an ECG is more than just lead placement. In this case report, we had three 12-Lead ECG's, all featuring a similar pattern: inappropriate R-wave progression. Initially, when […]

Comparing 12-Leads: Common Error or Common Disease?

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The following is a case report involves three ECG's recorded on three different patients on three different crews during the same week. Your mission, should you decide to accept it, is to determine what these three patients have in common and what action should be taken! The first 12-Lead ECG is from an 88 year […]

63 Year Old Male: "Dental Pain" — Discussion

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This is the discussion to "63 year old male: "Dental Pain". You may wish to review the case. For starters, i think we all agree that the patient, with his signs and symptoms, needs to be transported. We have all had patients like this who don't want to go, even though we know they should. […]

69 year old female CC: Shortness of breath, weakness

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Here's a case submitted by a faithful reader who wishes to remain anonymous. He has submitted several cases before and they are always excellent so thank you, Mr. Anonymous!  EMS is called to the residence of a 69 year old female who is complaining of sudden onset of shortness of breath and weakness. Past medical […]

88 year old male CC: Chest pain – Conclusion

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This is the conclusion to 88 year old male CC: Chest pain. You may wish to go back and review the history and clinical presentation. First, let's look at the rhythm strip. This shows an undetermined regular rhythm at a rate of about 60 with demand ventricular pacing.  This is an oversimplification but as long […]

Snapshot: 58 year old male CC: Epigastric pain

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From time to time, we may have an interesting ECG, but without enough information (including final diagnosis) or additional ECGs to make a full case study.  In these instances, we will share the ECG and whatever information we have in our "Snapshot" series.  As always, some information may be changed to protect patient confidentiality.  Hope […]

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