Tag Archives: EKG

74 year old female CC: Chest pain

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Is there anything else you’d like to know about this patient?

50 year old male CC: Chest pain

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Here’s a really interesting case submitted by “Anonymous from Ann Arbor, Michigan.” Wolverines! 🙂 Sorry, Buckeyes. EMS is called to the residence of a 59 year old male with a chief complaint of chest pain. Past medical history: Dyslipidemia Meds: Zocor The patient was given 600 mg ASA by the spouse prior to EMS arrival. […]

85 year old female CC: Respiratory distress – Discussion

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This is the follow-up and discussion for 85 year old female CC: Respiratory distress. As usual, thank you for all the insightful comments! The case demonstrates some very important points not the least of which is that the differential diagnosis of shortness of breath can be difficult, even for emergency physicians who have access to […]

85 year old female CC: Respiratory distress

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EMS is called to a local nursing home for a 85 year old female with a chief complaint of respiratory distress. On arrival the patient is found lying in bed in obvious distress. Respirations are 40 and shallow with a prolonged expiratory phase and accessory muscle usage. Auscultation of the chest reveals a poor tidal […]

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 […]

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