Tag Archives: EMS

53 year old male with a suspicious ECG – Conclusion

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This one was really challenging because we all know that reciprocal changes are strongly supportive of acute STEMI.

53 year old male with a suspicious ECG

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Here's another interesting case brought to my attention by the one and only David Hildebrandt. EMS is called to a local medical clinic to transfer a 53 year old male to the emergency department. It turns out the patient was in for a regular check-up. He appears to be in excellent physical condition and states […]

58 year old female CC: Chest pain – Conclusion

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This is the conclusion to 58 year old female CC: Chest pain. Let's take another look at the 12-lead ECG. Remember, ST-elevation needs to be explained, and if the etiology involves myocardial infarction, urgent time-sensitive decisions need to be made. In this case, we have ST-elevation in leads V1-V5, which suggests the possibility of acute […]

58 year old female CC: Chest pain

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EMS is called to the residence of a 58 year old female complaining of chest pain. On arrival the patient is found walking around the kitchen. She is anxious and hyperventilating. Past medical history: Hypertension (controlled with diet and exercise) HTN Medications: Xanax The patient is asked to sit down in a kitchen chair and […]

Found on the LIFENET 05/2011

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Found on the LIFENET. What is your impression of this ECG?   *** UPDATE *** Consider this recent case from Dr. Smith's ECG Blog. ST-elevation in aVR, with widespread ST-depression "ST elevation in aVR is often thought to represent left main occlusion. However, it really just signifies widespread and diffuse subendocardial ischemia which could be […]

82 year old male CC: Shortness of breath – Conclusion

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This is the conclusion to 82 year old male CC: Shortness of breath. Let's take another look at the 12-lead ECG. This ECG shows a severe bradycardia. We need to ask a couple of very important questions. Is the patient stable or unstable? The patient is unstable. In fact, the patient is periarrest. We cannot […]

82 year old male CC: Shortness of breath

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Here's an interesting and somewhat unusual case submitted by a faithful reader who wishes to remain anonymous. EMS is called to the residence of a 82 year old male complaining of shortness of breath and weakness. On arrival the patient is found slumped sideways in a chair. He is weak and in significant distress, repeating, […]

88 year old female CC: Chest pain – Conclusion

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This is the conclusion to 88 year old male CC: Chest pain. Let's take another look at the 12-lead ECG. This ECG shows acute STEMI in the presence of left bundle branch block. It's also an excellent example of the value of using "excessive discordance" to identify acute STEMI in the presence of left bundle […]

Conclusion to "The path (more) traveled" at EMS1.com

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The conclusion to “The path (more) traveled” has been posted. Did you recognize the rhythm as AF/WPW? This is one situation where a CCB could be the last medication a patient receives! Enjoy!

88 year old female CC: Chest pain

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Here’s a really interesting ECG submitted by my good friend David Hildebrandt. EMS is called to an assisted living facility for an 88 year old female who is weak and complaining of chest pain. The patient is found lying on her side in bed. She appears acutely ill and states she is nauseated. She is […]

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