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Must-see JEMS.com webcast!

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I came across an outstanding webcast the other day. It’s hosted by JEMS.com and sponsored by Physio-Control. It’s called Connecting Care Teams and Collecting Data: How it helps both you and your patient – The Houston Experience (no longer available). It’s dated February 18, 2010 so I’m not sure how I missed it the first time […]

47 year old female CC: Chest pain

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Here’s a case study from a faithful reader who wishes to remain anonymous. EMS is dispatched to a 47 year old female complaining of chest pain. On arrival paramedics find the patient seated on the floor. She appears acutely ill. Her skin is cool, pale, and diaphoretic. The patient confirms that she is experiencing severe, […]

37 year old male CC: Unconscious – Discussion

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The conclusion to this case study has been combined with Part I. Endurance athlete presents to EMS with syncope. Is the 12-lead ECG abnormal?

Endurance athlete presents to EMS with syncope. Is the 12-lead ECG abnormal?

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EMS is called to evaluate an unconscious 37 year old male. En route to the scene dispatch advises paramedics that the patient is now conscious and may have experienced a syncopal episode and seizure-like activity. The spouse believes that the patient may be having a stroke. On arrival the patient is found lying in bed. […]

78 year old male with chest pain and wide complex rhythm – Discussion

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The conclusion has been moved to the main case study. http://www.ems12lead.com/2010/09/11/78-year-old-male-cc-chest-pain/

Male patient with chest pain and wide complex rhythm

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EMS is called to the residence of a 78 year old male. It’s the middle of the night. The patient’s spouse meets you at the front door and brings you back to the bedroom. The patient is sitting on the edge of his bed. He is highly anxious and complaining of chest discomfort and palpitations. […]

76 year old female CC: Chest pain – Conclusion (Takotsubo Cardiomyopathy)

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Here is the conclusion to the most recent case: 76 year old female CC: Chest pain. To see Part I click HERE. To see Part II click HERE. The patient was transported to the emergency department where she was treated for a possible acute coronary syndrome. Serial 12-lead ECGs and cardiac biomarkers were performed. This […]

76 year old female CC: Chest pain – The case for this being an acute anterior STEMI

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As many of you pointed out, the history and clinical presentation isn’t exactly screaming “Acute Coronary Syndrome!”

76 year old female CC: Chest pain

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EMS is called to the beach for a 76 year old female complaining of shortness of breath. Past medical history of emphysema. On arrival, the patient is found sitting in a beach chair alert and oriented to person, place, time, and event. She does not appear to be in any acute distress. The patient states […]

53 year old female CC: Chest discomfort and shortness of breath

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Here’s an awesome case submitted by Nathan Stanaway of Grady EMS in Atlanta, GA. The patient is a 53 year old female c/o chest discomfort and mild dyspnea. The pain is described as “severe” and she gives the pain a 10/10. Past medical history is significant for migraine headaches and anxiety. Patient is a poor […]

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