Tag Archives: EKG

47 year old male CC: Crushing chest pain – Conclusion

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Here is the conclusion to 47 year old male CC: Crushing chest pain. You may want to go back and read the original case presentation to see how we got to this point. When we left off we had this rhythm on the monitor and surprisingly the patient was conscious and talking!  As usual there […]

47 year old male CC: Crushing chest pain

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Here's an awesome case submitted by Phil, an Intensive Care Paramedic from Australia. Some minor changes have been made to ensure patient confidentiality. EMS is called to a track and field event for a 47 year old male patient with chest pain. On arrival the patient is found lying on the grass with a cold, […]

17 year old male CC: Syncope

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EMS is called to a local restaurant on a very hot day for a 17 year old male patient who experienced a syncopal episode. On arrival the patient meets the ambulance in the parking lot and says, "Hey, man, I'm really sorry. We don't need the ambulance."  Paramedics asks what happened and he says, "I […]

63 year old male CC: Shortness of breath – Conclusion

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This is the conclusion to 63 year old male CC: Shortness of breath. You may wish to go back and read the original post. Let's take another look at the 12-lead ECG. Now with the computerized interpretation. This ECG shows severe left ventricular hypertrophy with a "strain pattern" or secondary ST-T wave abnormality. A "strain […]

63 year old male CC: Shortness of breath

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By request I'm trying something new. The 12-lead ECG will be cropped and the computerized interpretation removed until the solution is posted. Let me know if you find this approach to be useful. This is how I used to teach 12-lead ECG interpretation but I started leaving the computerized interpretation because that's reality — you'll […]

ECG Challenge – Is it a STEMI?

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Since you all seemed to enjoy the link I posted to the ACC's ECG Challenge from 2006 I thought I'd give you another ECG Challenge. I'm working on a special project (details to be announced soon) and I came across this interesting ECG from the archives of an old computer. I thought it was long […]

13 year old female CC: Syncope – Discussion

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This is the discussion for 13 year old female CC: Syncope. You may wish to go back and familiarize yourself with the details. The short of it is that on a very hot and humid day a 13 year old female passed out after looking at her sister's scraped knee. She had passed out at […]

13 year old female CC: Syncope

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EMS is called to a local hardware store for a 13 year old female with a possible seizure. On arrival the patient is found sitting outside at a picnic table. Her mother and father are both present. The ambient temperature is hot and humid. The patient's skin is very warm and moist but chalky. Her […]

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

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This is the discussion for 60 year old male CC: "I don't feel well". Go back and familiarize yourself with the history and clinical presentation because it's important to the case (as it always is). Here is the rhythm strip and 12-lead ECG that was presented. You may recall from my series on ineffective or […]

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 […]

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