Tag Archives: EMS 12-Lead

81 year old female CC: Chest Pain

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Here is a great case from NYC Medic, hopefully you'll enjoy it as much as we did! It's a hot summer's night in the city when the tones drop to Assist Police reference a 10-34 (assault in progress) at a large apartment complex. You arrive and find two cruisers parked, with no officers in sight. A […]

Syncope and sudden death in student athletes – EMS 12-Lead podcast Episode #1

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EMS 12-Lead podcast – Episode #1 – Syncope and sudden death in student athletes. Tom Bouthillet, David Baumrind and Christopher Watford are joined by Dr. John Mandrola from the Dr. John M blog. We discuss sudden death in student athletes, the controversy surounding the prescreening of student athletes, the need for AEDs in the schools, […]

47 year old male CC: Crushing chest pain – Conclusion

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Here is the conclusion to 47 year old male CC: Crushing chest pain. You may want to go back and read the original case presentation to see how we got to this point. When we left off we had this rhythm on the monitor and surprisingly the patient was conscious and talking!  As usual there […]

Review of the ACLS Review app by Limmer Creative

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If you've been following my fan page on Facebook you've probably already heard about the ACLS Review app by Limmer Creative. To give you some background, Dan Limmer is a well known EMT textbook author with lots of street cred. You might recall his appearance on the EMS EduCast live from the conference floor at […]

47 year old male CC: Crushing chest pain

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Here's an awesome case submitted by Phil, an Intensive Care Paramedic from Australia. Some minor changes have been made to ensure patient confidentiality. EMS is called to a track and field event for a 47 year old male patient with chest pain. On arrival the patient is found lying on the grass with a cold, […]

17 year old male CC: Syncope – Discussion

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This is the discussion for 17 year old male CC: Syncope. You may wish to go back and familiarize yourself with the details of the case. Let's take another look at the 12-lead ECG. It wasn't that long ago that I was trying to convince paramedics to perform 12-lead ECGs on chest pain patients. I […]

17 year old male CC: Syncope

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EMS is called to a local restaurant on a very hot day for a 17 year old male patient who experienced a syncopal episode. On arrival the patient meets the ambulance in the parking lot and says, "Hey, man, I'm really sorry. We don't need the ambulance."  Paramedics asks what happened and he says, "I […]

63 year old male CC: Shortness of breath – Conclusion

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This is the conclusion to 63 year old male CC: Shortness of breath. You may wish to go back and read the original post. Let's take another look at the 12-lead ECG. Now with the computerized interpretation. This ECG shows severe left ventricular hypertrophy with a "strain pattern" or secondary ST-T wave abnormality. A "strain […]

Part 2 of the Conclusion to 15 year old male CC: fall from vehicle

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This is Part 2 of the conclusion to 15 year old male CC: fall from vehicle. Be sure to read Part 1 of the conclusion to 15 year old male CC: fall from vehicle to catch yourself up! Before we find out the answer, let's recap the specifics: 15 year old male thrown from the […]

63 year old male CC: Shortness of breath

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By request I'm trying something new. The 12-lead ECG will be cropped and the computerized interpretation removed until the solution is posted. Let me know if you find this approach to be useful. This is how I used to teach 12-lead ECG interpretation but I started leaving the computerized interpretation because that's reality — you'll […]

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