Category Archives: ems-health-safety

Masters Case #01: 50 Year Old Male – Severe Chest Pain

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Most of our cases here at EMS 12-Lead are designed to strike a balance between challenging experienced prehospital providers while also highlighting a couple of specific teaching points for those seeking to learn. It’s a difficult line to walk. We want to showcase EKG’s with specific findings that are apparent enough to make good teaching […]

70 Year Old Male: Short of Breath

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  Good morning sports fans! You are dispatched to the residence of a 70 year old male, complaining of “shortness of breath”. You pull up to a well kept home, and are met at the front door by the patient’s wife. She tells you that her husband came home from the hospital yesterday after cosmetic […]

Conclusion to Snapshot Case: 44 Year Old Male – Chest Tightness

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This is the conclusion to the Snapshot Case located here. You may want to review the initial description again. As many readers correctly pointed out, this patient is experiencing a STEMI. Let's start with the basics and work our way up to some pretty advanced topics. First, there is anterior ST-elevation with upwardly-concave T-waves, as […]

Snapshot Case: 44 Year Old Male – Chest Tightness

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Here's a new "Snapshot" case courtesy of Dr. Bojana Uzelac from Serbia… A 44 year old male presents with a chief complaint of tightness in his chest x 1 hour. He was on his way to a conference when it started and states: "It feels kind of like asthma. I've never been diagnosed but I […]

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 […]

68 Year Old Male: Chest Tightness – Part 2

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This is part 2 of a multi-part series examining a 68-year-old male patient who presented with a chief complaint of "chest tightness" and an abnormal ECG. You may want to review the initial description of the patient here. We're going to save the dissection of the ECG's for the next post and continue on with […]

68 Year Old Male: Chest Tightness – Part 1

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

63 Year Old Female, CC: Neck and Arm Pain

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  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 […]

The Weekend Roundup: ECG Highlights from Around the Web…

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37 Year Old Male–CC: Chest Pain, Part II

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This is part II to "37 year old male–CC: Chest Pain". You may wish to review the case. So, while many of our cases are straightforward, this one is not.  But hey, our patients don't read the textbooks! First, let's review the chief complaint:  Our 37 year old male had "chest tightness", but complained of lethargy […]

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