Tag Archives: ems12lead.com

Hyper-K and Shades of Grey

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Good morning all… It's a beautiful fall Sunday morning, and you and your partner are enjoying an nice cup of coffee. But of course, the tones go off, and you are called to the residence of a 52 year old female, "sick". You recognize the address, you've been there before.  Upon your arrival, you find […]

53 Year Old Male: Severe Leg Pain–Conclusion

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This is the conclusion to 53 year old male: Severe leg pain. You may wish to review the case. Before we begin, my apologies for the delay in posting this conclusion. I live in coastal NY, and we got hammered by Hurricane Sandy. It has taken me a little time to get all caught up. […]

53 Year Old Male: Severe Leg Pain

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This great case was sent in by faithful reader Bryan Brzycki, a Medic from Beaufort County. As usual, some minor information may be changed to protect patient confidentiality. It's a cloudy fall morning when the tones go off and your unit is dispatched to the residence of a 53 year old male.  When you and […]

24 year old male: "Anxiety Attack"

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This great case comes from a long time reader who wishes to remain anonymous. As always, details have been changed to protect patient and provider privacy. You're dispatched on an ALS quick response vehicle by law enforcement requesting EMS to check up on a subject. Dispatch notes indicate officers were called reference a domestic disturbance […]

59 Year Old Male–"Lifting Boxes": Part II, with a twist!

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This is part II to 59 year old male–"Lifting Boxes". You may wish to review the case. Let's review the ECG: There is sinus rhythm at about 90 bpm. Some of you saw a slight bit of ST elevation in the inferior leads, and maybe an abnormal aVL. Perhaps? Perhaps not? V1-V4 look possibly abnormal, […]

59 Year Old Male: "Lifting Boxes"

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This is part one of today's case study. As usual some information has been changed to protect patient confidentiality. EMS is called to the residence of a 59 year old male, who's chief complaint is chest discomfort.  As the crew enters the kitchen, they find the patient sitting in a chair surrounded by family members. […]

Snapshot Discussion: 64 Year Old Male–Chest Pain

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This is the discussion for "Snapshot: 64 Year Old Male–Chest Pain". First, let's talk about the patient presentation.What is concerning is the substernal chest pain, radiating to the shoulder and neck area. While this occurred about 30 minutes after exercise, it did not occur during exercise, so that is somewhat atypical. Still, enough red flags […]

Snapshot: 64 Year Old Male–Chest Pain

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Today we have a short "Snapshot" case…Just the down and dirty. You are called to an urgent care center for a 64 year old male, CC of substernal chest pain, which radiated to the right shoulder and neck area. He states the discomfort feels a little like "indigestion". This episode began just after finishing a […]

Discussion for "A Change of Pace: What Happened?"

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This is the discussion for "A change of Pace: What Happened?"  My apologies for the delay! Pacemakers are amazing pieces of technology. They have evolved continually, and have given patients an increasing quality of life where none existed before. However, with this amazing technology comes a level of complexity that also has not been seen […]

A Change of Pace: What Happened?

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Here is a challenging case this morning to stretch your mind… You are called to a 71 year old male feeling "sick". He has not felt well for the past 24 hours. He describes feelings of "general aches and pains". He has history of heart failure, for which he has an AICD. His vitals are […]

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