STEMI Recognition: Beyond the Basics – Register now!

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August 16, 2012 @ 2:00 p.m. (14:00) EST.

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Shay
59 Year Old Male: Unwell
I'll go with A-fib with RVR, and an Anterior/Septal/Inferior MI. TX the MI since it's the worst of the evils, and I'm willing to bet the A-Fib may be a result of irritation from the MI. ASA, IV x 2, 1000mL bolus, Nitro when his BP finally supports it (though I doubt it ever will,…
2015-06-30 19:52:56
Steve
59 Year Old Male: Unwell
Afib is a possibility but the differentials for a wide complex tachycardia have always been said to be: 1:VT 2; VT 3: VT 4:VT 5: abberency Especially since he has no reported history of afib. Show a 12lead to 5 cardiologist and get 6 different readings. Stop with the elitist attitude.
2015-06-30 14:41:04
Steve
59 Year Old Male: Unwell
The differentials for a wide complex tachycardia. 1:VT 2; VT 3: VT 4:VT 5: sinus with abarency Since he's the right age, doesn't have history of afib, and MIs can cause VT, I'm leaning towards VT. Luckily treatment for unstable tachycardiaI is the same : shock. If it IS afib, it's doubtful he's been in…
2015-06-30 14:32:39
Martin
59 Year Old Male: Unwell
Had a very similar case and EKG just the other day. Docs called it BBB. They pushed calcium chloride and Bicarb and it started to narrow down after 20mins. Luckily I was 3 mins to ER "didn't push anything cause I didn't have time." aka..i didn't know what it was.
2015-06-30 13:40:01
Stephen Smith
59 Year Old Male: Unwell
Not VT. This is atrial fib with RVR and anterolateral STEMI in the presence of RBBB/LAFB. Possible superimposed hyperK. Needs cardioversion, then repeat ECG. STEMI can sometimes be due to demand ischemia and one must repeat the ECG after rapid rate is slowed.
2015-06-30 12:45:31

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