Archive for January2014

87 YOM COMPLAINING OF CHEST DISCOMFORT AND DYSPNEA

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  It’s a sunny morning, and your EMS unit is dispatched to a residence for an 87 year old male with difficulty breathing.   You arrive on scene before the fire engine and enter the residence. Upon entering the bedroom, you find an elderly male, sitting on the edge of the bed, vomiting. He is alert and oriented x 4 (person, […]

Snapshot Case: 45 Year Old Female–Chest Pain

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  Here is the latest from our "Snapshot" case collection..  This ECG was taken from a 45 year old female patient who had "off and on" chest pain for about 24 hours. The discomfort radiated to her left arm, and she complained of some "dizziness".  She denies any associated SOB, or N/V.  The discomfort worsened over […]

Pulmonary Pressures and ECG Patterns

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Ok, so we understand the basics of our Cardiopulmonary System for the most part, at least most of us reading this. But, if you don’t, DON’T WORRY, we can break it down in a few simple steps… Here we  go!!! The Right Ventricle (RV) pumps blood to the lungs via the Main Pulmonary Artery Trunk which […]

63 Year Old Female, CC: Neck and Arm Pain–Discussion

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  This is the discussion for our recent case 63 Year Old Female, CC: Neck and Arm Pain. Let's revisit the 12 Lead ECG: There "appears" to be a Sinus Brady rhythm at a rate of about 52 bpm, with a first degree AVB. The rhythm is regular for the first half of the ECG, then […]

Understanding Digoxin

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 Most of us have heard of, or encountered a patient taking Digoxin at some point in our careers. But, do we understand what it is and how it affects our patient?  Digoxin (Lanoxin), is a Cardiac Glycoside, derived from the foxglove plant, Digitalis. This medication is often seen in the pre-hospital setting, used for the […]