Tag Archives: EMS 12-Lead

24 year old male: "Anxiety Attack" – Conclusion

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This is the conclusion to our case 24 year old male: "Anxiety Attack". Be sure to read Part I before the conclusion! When we left off, our providers were on scene with a young man, in custody, who was pale and had a radial pulse too fast to count. A narrow complex tachycardia was present […]

62 year old male: Chest Discomfort – Conclusion

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This is the conclusion to our three part case series, 62 year old male: Chest Discomfort. Before reading the conclusion, we suggest you check out Part I and Part II. Thanks again to Vince DiGiulio, EMT-CC for this wonderful case! When we last left off, our patient had experienced a resolution of his chest pain […]

24 year old male: "Anxiety Attack"

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This great case comes from a long time reader who wishes to remain anonymous. As always, details have been changed to protect patient and provider privacy. You're dispatched on an ALS quick response vehicle by law enforcement requesting EMS to check up on a subject. Dispatch notes indicate officers were called reference a domestic disturbance […]

62 year old male: Chest Discomfort

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This another great case study from Vince DiGiulio, EMT-CC. As always, some details have been changed to protect patient privacy. It's Monday night and you're working triage in a busy emergency department. The waiting room is full when a very pleasant 62 year-old man presents to the desk with a chief complaint of chest discomfort. […]

57 year old male: Chest Discomfort – Conclusion

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This is the conclusion to 57 year old male: Chest Discomfort. We suggest you read the backstory first! We're now in the back of the ambulance with our stubborn 57 year old male with a rapid heart rate. He looks unwell, but is otherwise hemodynamically stable. Our partner is working on a line. Let's review the initial […]

57 year old male: Chest Discomfort

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The following is a great case from Mordy E, and as always some details have been changed to protect patient privacy. You and your partner are refueling your ambulance at a gas station when a woman walks up and asks if you could, "come check out my husband." As you walk over to their car […]

88 year old female: Weakness – Discussion

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This is the discussion for 88 year old female: Weakness. If you've not read the backstory, we suggest you check it out! When we last left off, our patient was in an exam room with an irregularly irregular rhythm. The ED physician had asked you if the patient had a history of atrial fibrillation. Let's […]

77 year old female: Unresponsive – Discussion

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This is the discussion for 77 year old female: Unresponsive, if you have not read the case report we recommend you start there! First, a hat tip to our readers who were unafraid to tackle this challenging scenario. Second, we were very impressed to see a number of readers correctly identify this challenging rhythm! When we […]

77 year old female: Unresponsive

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This is a great case sent in my a reader who wishes to remain anonymous. We hope you find it as intriguing as we did! After clearing up from a routine interfacility transfer, you're dispatched for a 77 year old female who is unresponsive at a local extended care facility. A BLS engine crew is […]

Stump the Chumps: Atropine and Complete Heart Block – Discussion

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This is the conclusion to our special feature Stump the Chumps: Atropine and Complete Heart Block. If you've not seen the case, I recommend you go back and read it over. To recap, our crew had been dispatched to a 63 year old female who was lightheaded and happened to have a bit of a […]

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