Tag Archives: wide complex tachycardia

60 year old male CC: "I don't feel well"

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Here's an interesting case from an faithful reader who wishes to remain anonymous. Some changes have been made to help preserve patient confidentiality. This is a 60 year old male, who activated EMS for not feeling well. The call came in from a home way out in the county, and although it was dispatched as […]

74 year old female CC: Chest pain – Conclusion

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This is the conclusion to 74 year old female CC: Chest pain. As usual I enjoyed reading the comments! My goal is to get you guys thinking and it’s nice to see you discuss “stable versus unstable”, the need for sedation, and the importance of considering the Hs and Ts! Let’s take another look at […]

74 year old female CC: Chest pain

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Is there anything else you’d like to know about this patient?

78 year old male CC: Dizziness – Conclusion

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There were so many great comments on this case, including some great discussion on classifying wide complex tachycardias!

78 year old male CC: Dizziness

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Out front you are met by the patient’s wife, who frantically directs you inside…

Not So Fast!

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The January 2011 EMS 12-Lead column has been posted at EMS1.com. Not So Fast! Enjoy!

41 year old female CC: Chest pain

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Here’s a case submitted by Bob Sullivan from New Castle County EMS. EMS is called to the residence of a 41 year old female with chest pain. Onset: Sudden while sweeping the floor Provoke: Nothing makes the pain better or worse Quality: Tightness Radiate: The pain does not radiate Severity: 8/10 Time: 20 minutes prior […]

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 […]

68 year old male CC: Chest Pain

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Here’s another great case submitted by Robert Bees. EMS is called in the very early morning to a 68 year old male complaining of chest pain and shortness of breath. On arrival, the patient is anxious and appears acutely ill. He is oriented to person, place, and time. Skin is cool, pale, and diaphoretic. The […]

77 year old male CC: Palpitations

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EMS is called to the residence of a 77 year old male complaining of palpitations. Upon arrival, paramedics find the patient lying in bed. He is awake but lethargic. He is oriented to person, place, and time. The patient’s skin is cool, pale, and diaphoretic. He admits to chest discomfort and mild shortness of breath. […]

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