Tag Archives: ems12lead.com

Cath report for 74 year old male CC: Chest pain (with angiograms)

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Here’s the final update on the 74 year old male CC: Chest pain. Let’s take another look at the 12-lead ECG. The first update to the case is here: Update to 74 year old male CC: Chest pain In the update I showed the right precordial leads “flipped” to help see the STEMI. Here are […]

Update to 74 year old male CC: Chest pain

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Here are the serial prehospital 12-lead ECGs for 74 year old male CC: Chest pain Angiograms and cath report to follow. Pay close attention to the right precordial leads (V1-V3). Consider the following graphic. The most important changes occur between 16:41:26 and 16:50:30. Just for fun, here it is “flipped”. See also: Cath report for […]

74 year old male CC: Chest pain

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74 year old male presents to EMS with a chief complaint of chest pain. Onset approximately 1 hour prior to the 9-1-1 call. No further details of the OPQRST are currently available. I will update the case with this information as soon as it is available, along with the physical exam. Vital signs: Resp: 20 […]

12-Lead ECG Education Podcast at the EMS EduCast

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The 12-Lead ECG Education podcast is available for download from the EMS EduCast. Thanks to Greg Friese (@gfriese), Rob Theriault, and Bill Toon (@wftoon) for having me on the show! Become a fan of the EMS EduCast on Facebook HERE. Follow the EMS EduCast on Twitter HERE. See also: Everyday EMS Tips Paramedic Tutor

46 year old male CC: Chest Pain

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Here’s an interesting case from Associate Editor Christopher Watford. As a reminder, Christopher has his own blog called My Variables Only Have 6 Letters. 46 year old male presents to EMS complaining of chest pain. After sitting down on the gurney he states, “My heart is jumping out of my chest!” Onset: Sudden while doing […]

Marketing a STEMI System

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Very effective PR piece put together by Barnes Jewish Hospital (@BarnesJewish). [youtube=http://www.youtube.com/watch?v=xJ76R-Uy42w] If you visit the webpage and watch the videos on the right-hand side of the page you’ll see that this hospital understands the power of social media.

23 year old male CC: Chest Pain

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Here’s a fascinating case submitted by Geoff Dayne. EMS is called to a VA clinic for a 23 year old male who came in to get checked into the system. Somewhere in the exchange, he mentioned that he had been experiencing chest pain off & on for just over a month. Onset: Today’s pain came […]

12 year old male CC: Palpitations

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Here’s a case submitted by Bob Sullivan, NREMT-P from New Castle County EMS in Wilmington, DE. The case occurred six years ago so certain details are missing. However, there is more than enough here to discuss the most relevant points about the case. The patient was a 12 year old male whose only complaint was […]

63 year old male with sudden onset shortness of breath

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This is an interesting case submitted by Tom Bernesser who is a paramedic from North Carolina. I got to know Tom through the EKG Challenge forum at the EMS Village where he always posted fascinating case studies. Here’s the story. 63 year old male presents with acute onset of dyspnea. He reported 4 previous MI’s […]

9 minute and 45 second D2B time?

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Image credit: CantonRep.com That’s the startling claim made in this report found at CantonRep.com. A Plain Township emergency medical squad of Bill Meers, Craig Hamilton, David Schwitzgable, and Deputy Chief Don Snyder received Mercy Medical Center’s Emergency Chest Pain Center’s STEMI Cup award on Feb. 18. The squad was the first to receive the award. The […]

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