Archive for December2013

68 Year Old Male: Chest Burning – Part 2

Entry Img

This is the second installment in a multi-part case study; you may want to review the initial description of the patient’s presentation in Part 1. We’re going to save dissection of the ECGs for the next post and continue with his case… Here’s the patient’s initial ECG again: You start by administering 324mg of aspirin […]

68 Year Old Male: Chest Burning – Part 1

Entry Img

A 68-year-old male presents with a chief complaint of chest discomfort. It started at rest approximately three hours prior as has been constant ever since. He describes it as a burning sensation limited to the central portion of his chest. Nothing makes the pain better or worse and he rates it at about a 6 […]

'Twas the Night Before Christmas…

Entry Img

  'Twas the night before Christmas and all through the lab, Not a patient with chest pain, not even a stab… The stockings were hung at the bedside with care, And all of the cath lab technicians were there… The patients were snuggled, our sheets were all clean, As visions of a-fib danced over the […]

63 Year Old Female, CC: Neck and Arm Pain

Entry Img

  Good morning. It's 7:45 am on a sunny winter Monday, and you are just finishing up your holiday shopping list– it is getting down to the wire after all! The tones go off, and you are dispatched to the residence of a 63 year old female, "sick".  You arrive to a well kept two […]

Why do we send so many people to a cardiac arrest?

Entry Img

I did a fair amount of traveling and teaching in 2013 and I’ve been struck by the number of people who have been amazed by the number of rescuers my fire department sends to a sudden cardiac arrest (1 ambulance, 2 engines, and a battalion chief). I think there are several reasons for this. In […]