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63 year old female CC: Chest Pressure

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Here's a case from a faithful reader who wishes to remain anonymous.  As usual, some information has been changed to protect patient confidentiality. You are called to transfer a 63 year old female from a community hospital to a large medical center. Upon arrival at the local hospital, you are confronted with chaotic scene. You […]

50 year old male CC: Chest Pressure

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We hope you enjoy this case, as always some details have been changed to protect patient privacy. It's around 05:00 when the tones go off at your fire station for a medical response at a large apartment complex. You leave the bunkhouse with the engine crew and check enroute. Dispatch relays you are headed to […]

Discussion for 17 year old male CC: Chest pain and palpitations – WPW Part II

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This is Part II of the discussion for 17 year old male CC: Chest pain and palpitations. You may wish to review Part I of the discussion. As we covered in Part I, our patient was experiencing the life threatening combination of Wolff-Parkinson-White (WPW) and atrial fibrillation. The EMS 12-Lead Blog team broke this conclusion […]

17 year old male CC: Chest pain and palpitations

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Here's a great case submitted by a faithful reader who wishes to remain anonymous.  Some details have been changed to ensure patient confidentiality. You are called to the local ER to transfer a 17 year old male to a large metro hospital for evaluation. Your patient  presented to the local ER with chest pain and […]

Discussion for 90 year old male cc: chest pain

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I hope you all had happy holidays! Here is the discussion for 90 year old male cc: chest pain.  You may wish to go back and review the case. So, let's get into the case!  There are the usual questions we need to answer as we try to determine the rhythm.  Is the rhythm wide […]

90 Year Old Male CC: Chest Discomfort

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HAPPY HOLIDAYS! Here's an interesting case submitted by a faithful reader who wishes to remain anonymous.  As usual, some details may have been changed to protect patient confidentiality. You are called to the residence of a 90 year old male.  Prior to your arrival, he was met by a BLS crew, walking around his apartment […]

90 year old male CC: "Possible stroke"

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EMS responds to a 90 year old male with a "possible stroke". On arrival the patient is found sitting on the toilet (lid down). His spouse states that he had walked outside to retrieve the newpaper when he lost his balance and skinned his knee. She helped him inside and sat him down on the […]

Elderly Female: Chest Pain-Discussion

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This is the discussion for Elderly Female: Chest Pain. You may wish to review the case. Ok, this was not an obvious case, at least, not until the end.  As far as the patient goes, I think we all agree about the differentials: ACS vs. possible aortic dissection (due to the pain radiating to her […]

Elderly Female: Chest Pain

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As usual, some minor details were changed to protect the patient as well as the providers. You are called to the residence of an 82 year old female, chief complaint: chest pain. As you arrive, you and your partner find the woman sitting just inside the front door of her house.  She looks pale and […]

46 Year Old Female: Injuries From a Fall- Discussion

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This is the discussion for 46 year old female: injuries from a fall. You may wish to go back and review the case. To begin with, lets review the patient presentation.  Is there anything based on presentation that raises red flags for Acute Coronary Syndrome (ACS)? She is pale and diaphoretic, with nausea and vomiting. […]

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