Tag Archives: EMS 12-Lead

90 year old male CC: "Possible stroke"

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EMS responds to a 90 year old male with a "possible stroke". On arrival the patient is found sitting on the toilet (lid down). His spouse states that he had walked outside to retrieve the newpaper when he lost his balance and skinned his knee. She helped him inside and sat him down on the […]

90 year old female CC: Seizure – Conclusion

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This is the conclusion to 90 year old female CC: Seizure. Be sure to start there first! When we left off, we had completed our initial assessment of a 90 year old patient who, based on bystander accounts, had a seizure. She is pale, cold to the touch, and feels lethargic. During our assessment she […]

90 year old female CC: Seizure

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This interesting case is thanks to Dana from Redmond Medic One, we hope you enjoy it as much as we did! You're dispatched with a nearby engine company to an assisted living facility for a 90 year old female who has had a seizure. Dispatch notes indicate the patient is alert at this time. You're by […]

83 year old male CC: "Cardiac patient in distress" – Conclusion

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This is the conclusion to 83 year old male CC: "Cardiac patient in distress". You may wish to check out the previous post for details about the patient's clinical presentation. Let's take another look at the 12-lead ECG. This ECG shows a regular narrow complex tachycardia at a rate of 170. Could it be sinus […]

83 year old male CC: "Cardiac patient in distress"

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EMS is dispatched to a "cardiac patient in distress". On arrival paramedics are led to the bathroom where the patient is found sitting on a foot stool. He is conscious but appears acutely ill. Skin is pale and he is slumped over. He states that he feels weak. Past medical history: High blood pressure, high […]

29 year old female: Unresponsive

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Thanks go to an anonymous reader for this excellent case, as always we hope you find it as interesting as we did! As always, details have been changed where appropriate to protect patients and providers. You're on an ALS fly-car dispatched for an unresponsive female, a BLS ambulance and engine company are already en-route. You […]

Conclusion to 88 year old male CC: Chest pain

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This is the conclusion to 88 year old male CC: Chest pain. You may wish to review the previous post for the history and clinical presentation. Let's take another look at the 12-lead ECG. Now with the computerized interpretation. This 12-lead ECG shows bifascicular block and is very suspicious for acute STEMI. The first thing […]

81 year old female CC: Chest Pain – Conclusion

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This is the conclusion to 81 year old female CC: Chest Pain. Due to a significant language barrier, we were unable to obtain a useful medical history. Yet this case highlights the importance of a good scene assessment to gain additional information of clinical importance. First, let's examine the patient's 12-Lead ECG. We have a bradycardic, […]

68 year old male CC: Chest Pain – Conclusion

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This is the conclusion to 68 year old male CC: Chest Pain. When we last left off, our patient was sitting outside a convenience store with a sensation of, "somebody punching me in the chest". Our patient had a fast, irregular pulse, and we had acquired a rhythm strip and a 12-Lead ECG. The rhythm strip shows […]

88 year old male CC: Chest pain

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EMS is called to the residence of a 88 year old male patient with a chief complaint of chest pain. On arrival the patient is found standing at the front door. He appears anxious and acutely ill. Skin is pink and warm but diaphoretic. The patient is led to a kitchen chair and the assessment […]

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