Tag Archives: EMS 12-Lead

94 year old female CC: Chest Pain

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Here is an interesting case submitted by Billy Eskridge. EMS is called to an assisted living facility to evaluate a 94 year old female complaining of chest pain. History of present illness: Approximately 1 hour prior to EMS arrival, the patient had complained of a headache. A nurse gave the patient a Lortab. About 15 […]

Rhythm Challenge #1

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What’s the heart rhythm? *** Update 12/28/09 *** Hint: These are certainly atrial complexes (blue arrows) but are they P-waves?

Review of Factors Associated With False-Positive Emergency Medical Services Triage for Percutaneous Coronary Intervention

I found an interesting article while surfing the internet this morning. Yamamoto Swan, Pamela BA, Nighswonger, Beverly RN, Boswell, Gregory L RN, & Stratton, Samuel J. MD, MPH. (2009). Factors Associated With False-Positive Emergency Medical Services Triage for Percutaneous Coronary Intervention. Western Journal of Emergency Medicine, 10(4), This is a retrospective analysis of 12-lead cases […]

57 year old male CC: Chest pain

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Here’s a very interesting case submitted by FF/medic Tim Porter (c/o a faithful reader). The patient is a 56 year old male with a chief complaint of chest pain. Onset: Approximately 30 minutes prior to EMS arrival Provoke: Nothing makes the pain better or worse Quality: Described as intense pressure Radiate: The pain does not […]

Scientist shocked by ICD at Copenhagen summit

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http://www.liveleak.com/view?i=4a3_1260843814 Henrik Svensmark is a 51 year old physicist who works for the Danish National Space Center located in Copenhagen, Denmark. According to rightpundits.com, he is “one of the few scientific voices in the global warming debate who has actually done real research on the topic. His research has turned the global warming debate upside […]

77 year old male CC: Palpitations

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EMS is called to the residence of a 77 year old male complaining of palpitations. Upon arrival, paramedics find the patient lying in bed. He is awake but lethargic. He is oriented to person, place, and time. The patient’s skin is cool, pale, and diaphoretic. He admits to chest discomfort and mild shortness of breath. […]

STEMI Alert Protocol – Training PowerPoint

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This content is no longer available. See our comprehensive video-based 12-lead ECG course at ECG Medical Training.

66 year old male CC: Chest pain – Conclusion with Angiograms

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Here is the conclusion to 66 year old male CC: Chest pain. The patient was fast-tracked to the cardiac cath lab. D2B of 62 minutes. E2B of 78 minutes! RCA is normal LAD (before) – 100% occlusion LAD (before) – 100% occlusion LAD (after) LAD (after) LAD (after) LAD (after)

66 year old male CC: Chest pain

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EMS is called to the parking lot of a local fast food restaurant for a 66 year old male complaining of chest pain. On arrival, the patient appears acutely ill. His skin is pale/ashen but dry. He is rubbing his chest and there is a grimace on his face. He is not conversant but he […]

54 year old male CC: Chest pain

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EMS is called to the doctor’s office to evaluate a 54 year old male complaining of chest pain. On arrival, the patient is alert and oriented to person, place, time, and event. However, he is anxious and his skin is pale and diaphoretic. He is on oxygen via NC @ 4 LPM. An IV has […]

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