This is the discussion for 77 year old female: Unresponsive, if you have not read the case report we recommend you start there! First, a hat tip to our readers who were unafraid to tackle this challenging scenario. Second, we were very impressed to see a number of readers correctly identify this challenging rhythm! When we […]
This is the conclusion to 65 year old male CC: Fall with injury. You may wish to review the history and clinical presentation. When we left off the patient was in severe heart failure with the following 12-lead ECG. As we have mentioned before on several occasions, the most important thing when treating a patient […]
Here's a very interesting case submitted by a faithful reader who wishes to remain anonymous. Some changes have been made to preserve patient confidentiality. EMS is called to a local breakfast restaurant for a 65 year old male who fell in the parking lot. He was reported to have suffered a head injury. On arrival […]
We are revisiting the Discussion for 90 year old male CC: Chest pain. You may wish to review the case. You may recall we pointed out that the VT appeared be regularly irregular, with alternating cycle lengths: What follows is a "Guest Post" by Jason Roediger, CCT/CRAT, and Ken Grauer, M.D. (www.kg-ekgpress.com): "The rhythm represents […]
This is Part I of the discussion for 17 year old male CC: Chest pain and palpitations. You may wish to review the case. If you recall from the case, our crew was performing an interfacility transport of a 17 year old male with a rapid, irregular tachycardia which required cardioversion. At the receiving facility […]
This is the conclusion to 90 year old female CC: Seizure. Be sure to start there first! When we left off, we had completed our initial assessment of a 90 year old patient who, based on bystander accounts, had a seizure. She is pale, cold to the touch, and feels lethargic. During our assessment she […]
This interesting case is thanks to Dana from Redmond Medic One, we hope you enjoy it as much as we did! You're dispatched with a nearby engine company to an assisted living facility for a 90 year old female who has had a seizure. Dispatch notes indicate the patient is alert at this time. You're by […]
This is the discussion for 60 year old male CC: "I don't feel well". Go back and familiarize yourself with the history and clinical presentation because it's important to the case (as it always is). Here is the rhythm strip and 12-lead ECG that was presented. You may recall from my series on ineffective or […]