Submit a Case Study

Do you have a cool ECG or case study you’d like to see featured on the Prehospital 12-Lead ECG blog?

Email the case study to

The cases most likely to be accepted will include:

  • Patient information including age, gender, chief complaint, medical history, medications, vital signs, and physical exam.
  • ECGs with excellent data quality (rhythm strip and 12-lead ECG preferred)
  • Information about the patient’s clinical course, including treatment, response to treatment, and discharge diagnosis if available.

Please include information as to how you’d like to be credited for the case study. For example, “I’d like to be credited as John Smith” or “I’d like to remain anonymous.”

By submitting an ECG or case study you authorize Tom Bouthillet to publish the material in any manner including digital media, magazine, or book form.


  • Jimmy Fox says:

    is this For BLS or ALS.

  • Bubbleman says:

    Something that happened outside of work….
    I was driving and saw a woman sitting in her car clutching her chest and I became concerned. I had seen this woman about 20 minutes ago doing walking exercises (known as "Boot Camp"). I pull over and asked if she was ok. She said she was walking when her chest started to her and she had shortness of breath. I took her blood pressure and it was 150/100 (she said that was normal and I thought that also had a lot to do with the exercising). Her pulse was normal as well. She appeared to have no profuse sweating, but she was exercising. Her color looked fine, but it was evening so the lighting was not very good. I stayed with her for about 10 minutes and took her vitals again. Blood pressure and pulse were normal and she said her pain was not so bad anymore. Although I didn't tell her, I figured it was angina. I told her "If your pain does not go away within 2 hours, take two aspirins and go to the hospital or call 911."
    I then left. Did I do the right thing?

  • slime says:

    bubbleman, good thinking stopping and helping and checking vitals. but someone complaining of chest pain, care should not be delayed. you should have called 911 immediately before you even took vitals. I understand she is not dying in front of you (yet) but if it is angina (it most probably was) then she needs aspiring and nitro immediately to open those coronary arteries and perfuse her heart muscle again. she is having chest pain because part of her heart is not receiving enough oxygen and blood. time is literally tissue. 20 minutes could mean the difference between her still having a fully functional heart or having permanently damaged heart tissue due to inadequate perfusion. if you or a bystander had any aspirin, you should have given her 4 81 mg tablets to chew right away. not bashing,you did the right thing, just want you to realize the severity of legitimate chest pain. other than that great job, many people wouldnt have even stopped!

  • GaryM says:

    I went for my annual physical on my 60th birthday. My EKG showed a-fib and left axis anterior fascicular block. If accurate, what are my future prospects?

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