Archive for February2011

39 year old male CC: "Sick"

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Upon arriving on scene, we find a 39-year-old male patient seated upright on an examination bench. He is alert and oriented x4, with slightly moist and warm skin, otherwise appearing free of distress.

Conclusion to "Run of the Mill" – Feb 2011 EMS 12-Lead column at EMS1.com

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The conclusion to “Run of the Mill” has been posted at EMS1.com. Run of the mill: Patient follow-up Apparently not everyone is happy with my treatment plan. Head on over and feel free to share your thoughts in the comments section!

55 year old male CC: Chest pain? – Conclusion

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This is a real challenge because it meets the voltage criteria for left ventricular hypertrophy in the limb leads.

91 year old female CC: Seizure (A strange situation) – Discussion

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Here is the 12-lead ECG that was captured just as she went into cardiac arrest.

Atrial flutter can cause false positive cath lab activations

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I first heard about this issue a couple of years ago in a webinar at the D2B Alliance website. Since then I have seen it several times in my own EMS system. I also mentioned it when I commented on: Review of Factors Associated With False-Positive Emergency Medical Services Triage for Percutaneous Coronary Intervention According to that […]

56 year old female with a "cardiac disorder"

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Here’s an interesting case submitted by Mike from Massachusetts. Here’s the story in Mike’s own words: EMS is contacted by a local rehabilitation facility for a female patient with a cardiac disorder. Initial dispatch is an ALS ambulance, ALS squad, and a BLS engine company. Approximately 20 minutes prior to EMS arrival, patient began experiencing […]

EMS EduCast Episode 91: Cardiac arrest (and skill retention)

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We had a spirited and interesting discussion about cardiac arrest.

55 year old male CC: Chest pain?

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EMS is called to a local urgent care center for a 55 year old male with chest pain. On arrival, a patient care technician states that the patient is experiencing a hypertensive crisis. He has already received SL NTG x3 but his BP is still 180/118. The physician states that he is also worried about […]

76 year old female CC: Diminished LOC – Discussion

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Here’s the follow-up to 76 year old female CC: Diminished LOC. Be sure to check out all the awesome comments on the case! Let’s take another look at the 12-lead ECG. There’s something very unusual about this heart rhythm. It’s slow, there are no P-waves, and the QRS complexes are extremely wide (> 200 ms). […]

76 year old female CC: Diminished LOC

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Here’s an interesting case study from a faithful reader named “Randy”. EMS is called to evaluate a 76 year old female with a diminished level of consciousness.

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