Tag Archives: ECG

78 year old male CC: Dizziness – Conclusion

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

78 year old male CC: Dizziness

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

54 year old female CC: BLS intercept – Conclusion

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This is the conclusion to 54 year old female CC: BLS intercept. I did not expect to get so many comments! Great discussion on many points. It even afforded an opportunity to review atrioventricular blocks. Going back to the case let’s look at the initial 12-Lead ECG. As many readers noted, there is a lot […]

Second Degree or Third Degree Atrioventricular Block?

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Take another look at the rhythm strip from the current case study, “54 year old female CC: BLS Intercept”: As many readers have pointed out, there exists some level of atrioventricular block. The question then is, which one is it: is it a second degree AV block or a third degree AV block? In order […]

54 year old female CC: BLS intercept

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Tom, our Editor-in-Chief, and David, an Associate Editor, are gone on vacation. As a send-off, I am presenting the following case. I hope you enjoy it! It is just after 3am when you are called to intercept a BLS unit on scene with a 54 year old female with a low heart rate. Upon your […]

77 year old female CC: Chest pain – Conclusion

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This is the conclusion to 77 year old female CC: Chest pain. Thanks for all the great comments! You guys never disappoint. Let's take another look at the initial 12-lead ECG. Here is one of the serial 12-lead ECGs taken about 15 minutes later. It's subtle but there are clear changes in QRS, ST and […]

77 year old female CC: Chest pain

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EMS is called to a residence on a horse farm for a 77 year old female with chest pain. On arrival, the patient is found sitting on a wooden bench. She appears anxious and acutely ill. Skin is warm, flushed and diaphoretic. She is rubbing her chest. Onset: 20 minutes prior to 9-1-1 call Provoke: […]

66 year old female CC: Chest pressure

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66 year old female who was awoken from sleep with substernal chest pressure.

71 year old male CC: Chest pain – Conclusion

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This is the conclusion to 71 year old male CC: Chest pain. Thanks for all the great comments! Let’s take another look at the 12-lead ECG. This 12-lead ECG shows acute anterior ST-elevation myocardial infarction. Significant ST-elevation is present in leads V2-V5, I and aVL with reciprocal ST-depression in leads III and aVF. A “STEMI […]

71 year old male CC: Chest pain

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EMS is called to the residence of a 71 year old male with a chief complaint of chest discomfort. On arrival patient is found standing at the front door. He appears anxious and acutely ill. Skin is cool, pale and diaphoretic. Onset: “Fairly sudden” 30 minutes prior to 9-1-1 call Provoke: Nothing makes the pain […]

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