Archive for May2011

57 year old female CC: Shortness of breath and chest pressure

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Here's an interesting case study from a faithful reader from Ann Arbor, MI who wishes to remain anonymous. Patient information Age: 57 Gender: F Chief complaint: SOB and Chest pressure constant 9/10 which woke her from sleep. Pt also vomited when she woke up and hands tingle. No radiation and nothing makes pain better or worse. Medical […]

Sudden Cardiac Arrest podcasts from EMS Today 2011

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Here's a recap of some of the great podcasts from EMS Today 2011 that specifically addressed sudden cardiac arrest. In Part I of this podcast, EMS Garage host and "EMS 10" awardee Chris Montera chats with Ben Bobrow, M.D., James Jollis, M.D. and Graham Nichol, M.D. of the Heart Rescue Project. This program looks at […]

60 year old male CC: Sudden cardiac arrest

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Here's a great case submitted by a faithful reader who wishes to remain anonymous. Some minor details have been changed to preserve patient confidentiality and some relevant comments and teaching points have been added. EMS is called to a barbecue festival for 60 year old male, unconscious and unresponsive, possible cardiac arrest. En route dispatch […]

Video: Axis Determination

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So you’ve read our blog, followed us on Facebook, submitted your own case studies, but you’re looking for more. You’re looking for the next big thing in EMS 12-Lead education. As a test run I’ve put together a video, shot Kahn Academy style using a pen and tablet, covering rapid axis determination. When I learned 12-Lead interpretation in […]

May 2011 EMS 12-Lead column at EMS1.com – What in the wide world of sports?

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The May 2011 EMS 12-Lead column has been posted at EMS1.com. What in the wide world of sports? If you think you know what's wrong with the patient, leave a comment that includes 1.) your impression and 2.) your treatment plan at EMS1.com. If (in my completely arbitrary opinion) yours is "the best" you could […]

Wake County EMS cardiac arrest survival rate among the highest in the country

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via NBC 17 News In these trying economic times, wouldn't it be nice to enjoy these bragging rights? It's not so easy for elected officials to cut your budget when you can prove you're a vital public service!  It feels good to save people, too. As noted by the panelists of the HeartRescue Project at […]

53 year old male with a suspicious ECG – Conclusion

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This one was really challenging because we all know that reciprocal changes are strongly supportive of acute STEMI.

High Performance CPR – Seattle Style!

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Editor's note: Since it's all over the news that Seattle's "save rate" for cardiac arrest (witnessed collapse, presumed cardiac etiology, shockable rhythm) is over 50%, I asked Dave Hitlz of the HEARTsafe Community page on Facebook if I could re-post an article he and Mathias Duschl wrote about their experience at the Resuscitation Academy. He […]

53 year old male with a suspicious ECG

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Here's another interesting case brought to my attention by the one and only David Hildebrandt. EMS is called to a local medical clinic to transfer a 53 year old male to the emergency department. It turns out the patient was in for a regular check-up. He appears to be in excellent physical condition and states […]

58 year old female CC: Chest pain – Conclusion

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This is the conclusion to 58 year old female CC: Chest pain. Let's take another look at the 12-lead ECG. Remember, ST-elevation needs to be explained, and if the etiology involves myocardial infarction, urgent time-sensitive decisions need to be made. In this case, we have ST-elevation in leads V1-V5, which suggests the possibility of acute […]

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