Tag Archives: Vince DiGiulio

The 12 Leads of Christmas: Lead I

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This article is the first in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. The Lead I Sign This patient has COPD.   So does this patient.   Also, this patient.   How do I know that? Well, I met the patients […]

Conclusion to Snapshot Case: 85 Year Old Male With Chest Pain

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This is the conclusion to the Snapshot Case from a couple of days ago. If you haven’t already done so, I suggest reviewing the very brief initial case description. Here again is the EKG from Tuesday’s case. This tracing is nearly pathognomonic for true occlusion of the left main coronary artery (LMCA), resulting in a […]

Snapshot Case: 85 Year Old Male With Chest Pain

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Snapshot cases are EKG’s where we do not have good patient follow-up or sometimes even clinical information but still feel there are worthwhile learning points to convey. This is an old case we’ve actually featured on the blog before, but today we’re going to do so with a different focus. This ECG is from an […]

Masters Case #02: 60 Year Old Female – Chest Pain, Hx of Pericarditis

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***Update: The conclusion for this case is now posted here.*** This is the second in our occasional series of Masters Cases. These are some of the toughest ECG’s we have seen and that is reflected in both the level of responses that are expected along with the depth of the discussions that will entail. For […]

62 year old male: Chest Discomfort – Conclusion

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This is the conclusion to our three part case series, 62 year old male: Chest Discomfort. Before reading the conclusion, we suggest you check out Part I and Part II. Thanks again to Vince DiGiulio, EMT-CC for this wonderful case! When we last left off, our patient had experienced a resolution of his chest pain […]

62 year old male: Chest Discomfort – Part II

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This is part two of the three part series, 62 year old male: Chest Discomfort. As before, clinical details have been altered for educational purposes and to protect patient and provider privacy. When we left our patient, he was experiencing the latest in what had become a series of episodes of minor chest pressure. A […]

62 year old male: Chest Discomfort

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This another great case study from Vince DiGiulio, EMT-CC. As always, some details have been changed to protect patient privacy. It's Monday night and you're working triage in a busy emergency department. The waiting room is full when a very pleasant 62 year-old man presents to the desk with a chief complaint of chest discomfort. […]

88 year old female: Weakness – Discussion

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This is the discussion for 88 year old female: Weakness. If you've not read the backstory, we suggest you check it out! When we last left off, our patient was in an exam room with an irregularly irregular rhythm. The ED physician had asked you if the patient had a history of atrial fibrillation. Let's […]

88 year old female: Weakness

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This great case was submitted by Vince DiGiulio, EMT-CC; we highly recommend you read his wonderful blog The Medial Approach to Emergency Medicine. As usual, the case has been altered to protect patient and provider privacy. You're working triage in a busy urban ED when an 88 year old female is brought in by her family. […]

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