Author Archives: Tom Bouthillet

Discussion to 60 year old male CC: "I don't feel well"

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This is the discussion for 60 year old male CC: "I don't feel well". Go back and familiarize yourself with the history and clinical presentation because it's important to the case (as it always is). Here is the rhythm strip and 12-lead ECG that was presented. You may recall from my series on ineffective or […]

New device allows you to assess BP with iPhone

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h/t Ubergizmo A new device by Withings will allow you to plug a BP cuff directly into an iPhone, iTouch or iPad. This could be very good for millions of people in the world who suffer from high blood pressure. See YouTube video HERE. We recently reported on the iCard ECG that will allow patients […]

AliveCor's iCard ECG for iPhone 3G, iPad and Android

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You may recall my previous reporting on the incredible iPhonECG (subsequently re-named the iPhone ECG) which caused quite a stir in the medical and gadget blogosphere. It's the third-most visited page in the history of the EMS 12-Lead blog (behind the lead placement charts and the notice that the 572 pound spokesman for the Heart […]

60 year old male CC: "I don't feel well"

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Here's an interesting case from an faithful reader who wishes to remain anonymous. Some changes have been made to help preserve patient confidentiality. This is a 60 year old male, who activated EMS for not feeling well. The call came in from a home way out in the county, and although it was dispatched as […]

57 year old female CC: Shortness of breath and chest pressure – Discussion

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This is the discussion for 57 year old female CC: Shortness of breath and chest pressure. Let's take another look at the 12-lead ECGs. I posed the following questions for this case: What do you think of these 12-lead ECGs? What is the most likely cause of the ST-depression and T-wave inversion. These ECGs show […]

Conclusion to 60 year old male CC: Sudden cardiac arrest

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This is the conclusion to 60 year old male CC: Sudden cardiac arrest. As you may recall the resuscitation was implemented using Adult Pit Crew CPR. This is not meant to miminize the importance of the chain-of-survival, including early activation of 9-1-1 and bystander CPR. Those links were intact for this case and that is extremely […]

57 year old female CC: Shortness of breath and chest pressure

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Here's an interesting case study from a faithful reader from Ann Arbor, MI who wishes to remain anonymous. Patient information Age: 57 Gender: F Chief complaint: SOB and Chest pressure constant 9/10 which woke her from sleep. Pt also vomited when she woke up and hands tingle. No radiation and nothing makes pain better or worse. Medical […]

Sudden Cardiac Arrest podcasts from EMS Today 2011

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Here's a recap of some of the great podcasts from EMS Today 2011 that specifically addressed sudden cardiac arrest. In Part I of this podcast, EMS Garage host and "EMS 10" awardee Chris Montera chats with Ben Bobrow, M.D., James Jollis, M.D. and Graham Nichol, M.D. of the Heart Rescue Project. This program looks at […]

60 year old male CC: Sudden cardiac arrest

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Here's a great case submitted by a faithful reader who wishes to remain anonymous. Some minor details have been changed to preserve patient confidentiality and some relevant comments and teaching points have been added. EMS is called to a barbecue festival for 60 year old male, unconscious and unresponsive, possible cardiac arrest. En route dispatch […]

May 2011 EMS 12-Lead column at EMS1.com – What in the wide world of sports?

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The May 2011 EMS 12-Lead column has been posted at EMS1.com. What in the wide world of sports? If you think you know what's wrong with the patient, leave a comment that includes 1.) your impression and 2.) your treatment plan at EMS1.com. If (in my completely arbitrary opinion) yours is "the best" you could […]

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