Category Archives:

49 year old male CC: Chest pain

Entry Img

From the archives. EMS is called to the vacation residence of a 49 year old male complaining of chest pain. On arrival the patient is found sitting at the kitchen table. He appears anxious and acutely ill. Past medical history: Healthy Meds: None Allergies: NKDA Skin is cool, pale and diaphoretic. He confirms that he […]

74 year old female CC: Chest pain – Conclusion

Entry Img

This is the conclusion to 74 year old female CC: Chest pain. As usual I enjoyed reading the comments! My goal is to get you guys thinking and it’s nice to see you discuss “stable versus unstable”, the need for sedation, and the importance of considering the Hs and Ts! Let’s take another look at […]

74 year old female CC: Chest pain

Entry Img

Is there anything else you’d like to know about this patient?

50 year old male CC: Chest pain – Discussion

Entry Img

This is the discussion for 50 year old male CC: Chest pain. You may recall that the patient started experiencing chest pain during sexual intercourse. Many of you were appropriately concerned about the possible use of drugs for erectile dysfunction that would contraindicate nitroglycerin! Thanks for pointing that out. In this case the patient was […]

50 year old male CC: Chest pain

Entry Img

Here’s a really interesting case submitted by “Anonymous from Ann Arbor, Michigan.” Wolverines! 🙂 Sorry, Buckeyes. EMS is called to the residence of a 59 year old male with a chief complaint of chest pain. Past medical history: Dyslipidemia Meds: Zocor The patient was given 600 mg ASA by the spouse prior to EMS arrival. […]

85 year old female CC: Respiratory distress – Discussion

Entry Img

This is the follow-up and discussion for 85 year old female CC: Respiratory distress. As usual, thank you for all the insightful comments! The case demonstrates some very important points not the least of which is that the differential diagnosis of shortness of breath can be difficult, even for emergency physicians who have access to […]

85 year old female CC: Respiratory distress

Entry Img

EMS is called to a local nursing home for a 85 year old female with a chief complaint of respiratory distress. On arrival the patient is found lying in bed in obvious distress. Respirations are 40 and shallow with a prolonged expiratory phase and accessory muscle usage. Auscultation of the chest reveals a poor tidal […]

April 2011 EMS 12-Lead case at EMS1.com – The Path (More) Traveled

Entry Img

Part I of the April 2011 EMS 12-Lead column is now posted at EMS1.com. The Path (More) Traveled – Part I Enjoy!

78 year old male CC: Dizziness – Conclusion

Entry Img

There were so many great comments on this case, including some great discussion on classifying wide complex tachycardias!

78 year old male CC: Dizziness

Entry Img

Out front you are met by the patient’s wife, who frantically directs you inside…

Page 20 of 46« First...10...1819202122...3040...Last »