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 […]

Let’s presume the chief complaint is chest discomfort.

I occasionally receive press releases of one kind or another in my inbox. If I think they may be of interest to my readers (or if I really like the product) I will post them but I do my best to cut through the marketing language and get to the nuts and bolts of the […]

Several of you indicated that you would capture a right-sided 12-lead ECG (or at least modified lead V4R).

Here’s a cool case from a faithful reader named Mike M. EMS is called to evaluate a 79 year old female with a chief complaint of chest pain. Onset: Sudden while watching TV Provoke: Nothing makes the pain better or worse Quality: “Heavy” Radiate: The pain does not radiate Severity: 7/10 Time: About 30 minutes […]

Potentially the most significant advancement in the treatment of cardiac arrest since defibrillation!

This is the follow-up discussion to: Tweet about ECG leads to mystery – is this a mimic or the real thing? Let’s take another look at the 12-lead ECG. This is a very suspicious ECG and must be considered acute inferior STEMI until proven otherwise. This was my initial gut feeling about this ECG and […]

The March 2011 EMS 12-Lead column is up at EMS1.com. Mirror on the wall You won’t want to miss this one!

One of the best things about EMS 2.0 is the ability to network and learn from EMS professionals all over the World. Since I’m interested in ECGs and STEMI care I occasionally use the search engine at Twitter to see what folks are talking about when it comes to emergency cardiac care. During one of […]

I received a couple of interesting 12-lead ECGs from a semi-regular contributor.