The role of 12 lead ECG in Pediatric Pulmonary Hypertension

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A 10 year old male presents to the Emergency Department with complaint of substernal chest pain, 6/10, unable to describe the sensation but non-radiating, which started during a basketball game, while running. Primary assessment: Patent airway Adequate respiratory effort with no signs of distress skin is pink, warm and dry, with no signs of hypoperfusion Pertinent medical Hx: […]

What it looks like: inferior STEMI

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No mysteries here today – this is an inferior STEMI! But I thought that prehospital provider might like to see what happens “on the inside” during an MI. The Case: A 60-something female had a few days of feeling not quite right, so she did some Googling, and she began to worry about a heart […]

Conclusion to Snapshot Case: 85yo M – Chest Pain

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This is the conclusion to the Snapshot Case from a couple of days ago. If you haven’t already done so, I suggest reviewing the very brief initial case description. Here again is the EKG from Tuesday’s case. This tracing is nearly pathognomonic for true occlusion of the left main coronary artery (LMCA), resulting in a […]

Register for #EMSToday2015 win an iPad mini!

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Here’s a blog post so promotional that it may crash Facebook’s throttling algorithm! In case you weren’t aware, the EMS Today conference is back in Baltimore and is scheduled to take place  February 25-28, 2015. In my last blog post I wrote about some of the reasons I love Baltimore and why I believe it’s the […]

Snapshot Case: 85yo M – Chest Pain

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Snapshot cases are EKG’s where we do not have good patient follow-up—or sometimes even clinical information—but still feel there are worthwhile learning points to convey. This is an old case we’ve actually featured on the blog before, but today we’re going to do so with a different focus. This ECG is from an 85-year-old male, […]

Mark your calendars: EMS Today is back in Baltimore!

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Those of you who miss the Pratt Street Ale House, Slider’s Bar and Grill, Pickles Pub, “Natty Boh”, Maryland crabcakes, the Inner Harbor, and Fell’s Point will be glad to know that EMS Today is back in Baltimore Feb 25-28, 2015! I like the Smithsonian as much as the next guy (all right, probably more […]

Anterior T wave inversions and PE.

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Last week, I described the case of a middle-aged male with a vague history of heart failure who had been having progressive shortness of breath for 4-5 days. On the day he called 911, he had been walking a short distance when he syncoped. EMS obtained an ECG: Compared with the prior ECG, the anterior […]

100 yof CC: Rib pain and intermittent spasms

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Here’s an interesting set of ECGs sent to us by Frank Intessimoni of Atlanticare EMS. You can follow Frank on Twitter: @njmedic3228. EMS is called to a local nursing home for a 100 year old female patient who had been complaining of rib pain and intermittent spasms for 3 days. Vital signs were assessed. RR: […]

Not just S1Q3T3: Look at the other 10 leads!

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It was a slow morning in the ED, so I was able to catch the medic as she came in with the patient. “Hey Leigh, what do you have for us? Got an interesting ECG?” “Well, maybe,” she replied as she wheeled by with a comfortable looking middle-aged male, “here, take a look at it […]

What it Looks Like: Cardiac Arrest

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This article is a quasi-cross-post from the website of our good friend Brandon Oto over at EMS Basics. He’s been gracious enough to allow us to adapt the original post from his What it Looks Like series over here. We highly suggest that you go check out the amazing and highly practical writing he does […]

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Ivan Rios
The role of 12 lead ECG in Pediatric Pulmonary Hypertension
Thanks for writing Tyler. They are the same thing. Strain pattern is just the result of increased pressures against the ventricles which alters the way repolarization occurs from epicardium to endocardium. Similar to stepping on a puddle of water. Your show spreads the water away from the area of pressure. The ST segment is slightly…
2014-12-17 18:44:24
Tyler
The role of 12 lead ECG in Pediatric Pulmonary Hypertension
Can you explain how these ST segment and T wave changes can be differentiated from right strain pattern?
2014-12-17 18:18:25
The role of 12 lead ECG in Pediatric Pulmonary Hypertension | EMS 12 Lead
PULMONARY PRESSURES AND ECG PATTERNS
[…] Pulmonary artery pressures and ECG patterns […]
2014-12-17 17:34:06
EMS 12 Lead
PULMONARY PRESSURES AND ECG PATTERNS
[…] Pulmonary artery pressures and ECG patterns […]
2014-12-17 17:26:42
What it Looks Like: Cardiac Arrest | Think Safe Blog
What it Looks Like: Cardiac Arrest
[…] http://www.ems12lead.com/2014/11/11/sudden-cardiac-arrest/ November 11, 2014 | Original Articles | Vince […]
2014-12-16 16:08:39

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