EMS is called to a local restaurant on a very hot day for a 17 year old male patient who experienced a syncopal episode. On arrival the patient meets the ambulance in the parking lot and says, "Hey, man, I'm really sorry. We don't need the ambulance." Paramedics asks what happened and he says, "I […]
This is the conclusion to 63 year old male CC: Shortness of breath. You may wish to go back and read the original post. Let's take another look at the 12-lead ECG. Now with the computerized interpretation. This ECG shows severe left ventricular hypertrophy with a "strain pattern" or secondary ST-T wave abnormality. A "strain […]
By request I'm trying something new. The 12-lead ECG will be cropped and the computerized interpretation removed until the solution is posted. Let me know if you find this approach to be useful. This is how I used to teach 12-lead ECG interpretation but I started leaving the computerized interpretation because that's reality — you'll […]
This is Part 1 of the conclusion to 15 year old male CC: fall from vehicle. Lots of great comments, including an unexpected sidebar discussion on appropriate C-spine clearance! All of our cases on EMS 12-Lead have been altered from their original form to protect patient and provider privacy and it appears I changed things […]
It has been a busy afternoon as the local schools are out for the Thanksgiving holiday. You've shift traded to get a longer vacation and are working with a newer paramedic. It's not long after dinner when you're paged out for a motor vehicle collision with an ejection. The details are hazy, but first responders […]
I received an email from a ZOLL rep this morning that had a file attachment called "AutoPulse Technical Report #3". The report shows a crash test with a mannequin outfitted with either the AutoPulse or the LUCAS compression device. Wouldn't you know it? The LUCAS device lost. Ladies and gentlemen: the gloves are off!
Photo credit: Kelly Arashin I had a very relaxing and restorative trip up to northern Michigan last week with my family. The weather was perfect. There was sightseeing in national forests, campfires and s'mores, good wine, good stories, and some hard work constructing a drainage system on the side of my parents' log home on […]