Tag Archives: EKG

Understanding ECG Filtering

Entry Img

A common problem in ECG interpretation is the removal of unwanted artifact and noise. To help with this our cardiac monitors provide a means to¬†filter¬†the ECG recording. Most cardiac monitors will choose the appropriate filter based on the situation. When performing routine monitoring, where only the cardiac rhythm is important, the filters applied are known […]

65 year old male CC: Fall with injury – Conclusion

Entry Img

This is the conclusion to 65 year old male CC: Fall with injury. You may wish to review the history and clinical presentation. When we left off the patient was in severe heart failure with the following 12-lead ECG. As we have mentioned before on several occasions, the most important thing when treating a patient […]

Comparing 12-Leads: Discussion

Entry Img

This is the discussion for Comparing 12-Leads: Common Error or Common Disease? All of our readers were on the right track, and many were spot on! Sometimes, troubleshooting an ECG is more than just lead placement. In this case report, we had three 12-Lead ECG's, all featuring a similar pattern: inappropriate R-wave progression. Initially, when […]

88 year old male CC: Chest pain – Conclusion

Entry Img

This is the conclusion to 88 year old male CC: Chest pain. You may wish to go back and review the history and clinical presentation. First, let's look at the rhythm strip. This shows an undetermined regular rhythm at a rate of about 60 with demand ventricular pacing.  This is an oversimplification but as long […]

88 year old male CC: Chest pain

Entry Img

EMS is called to a 88 year old male with a chief complaint of chest discomfort. On arrival the patient meets EMS at the front door. His skin is slightly pale and moist. He appears anxious. Past medical history: "Cardiac", pacemaker, hypertension, dyslipidemia Medications: Numerous, unavailable at the time of EMS evaluation Paramedics lead the […]

64 year old female CC: Trouble Breathing

Entry Img

Thanks go to Michael Herbert for this great case! As always, some details have been changed to protect patient privacy. It’s late into your shift when the tones go off for breathing problems at a local extended care facility.†Enroute you’re advised it is a 64 year old female with a “low O2 sat,” and to, […]

90 year old male CC: "Possible stroke"

Entry Img

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 […]

83 year old male CC: "Cardiac patient in distress"

Entry Img

EMS is dispatched to a "cardiac patient in distress". On arrival paramedics are led to the bathroom where the patient is found sitting on a foot stool. He is conscious but appears acutely ill. Skin is pale and he is slumped over. He states that he feels weak. Past medical history: High blood pressure, high […]

Conclusion to 88 year old male CC: Chest pain

Entry Img

This is the conclusion to 88 year old male CC: Chest pain. You may wish to review the previous post for the history and clinical presentation. Let's take another look at the 12-lead ECG. Now with the computerized interpretation. This 12-lead ECG shows bifascicular block and is very suspicious for acute STEMI. The first thing […]

88 year old male CC: Chest pain

Entry Img

EMS is called to the residence of a 88 year old male patient with a chief complaint of chest pain. On arrival the patient is found standing at the front door. He appears anxious and acutely ill. Skin is pink and warm but diaphoretic. The patient is led to a kitchen chair and the assessment […]

Page 1 of 1612345...10...Last »

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

JEMS Talk: Google Hangout

Comments
darren
53 year old male with a suspicious ECG
1st degree AV block. Left Anterior Hemiblock (rS waves in II, III and aVF, Left Axis Deviation -45 degrees QRS < 0.12). ST-changes I and aVL (concave rather than convex but suggestive of possible high lateral injury). Requires cardiologist referral.
2015-03-05 12:52:44
William Dillon
60 year old male CC: Sudden cardiac arrest
Great case but it stopped short. It should continue. The patient was transferred to an experienced PCI center. Focused medical evaluation was performed in the ED and emergent cardiology consultation was obtained. Although there is not clear ST elevation on the 12 lead the interventional cardiologist knows the data that over 70% of VF cardiac…
2015-03-03 12:53:20
Sharon Sinclair
The 12 Leads of Christmas: V3
As a technician, I absolutely love how comprehensive these posts are. Although I do not have the advanced knowledge or understanding of a licensed provider, I try to absorb as much as I can from posts like these. Maybe one day I will muster the courage to transition to a more advanced position in cardiac…
2015-02-28 20:40:17
A visit to Johns Hopkins #EMSToday2015 | EMS 12 Lead
Episode #11 – Are we harming patients with oxygen?
[…] might remember Mike from one of our most popular EMS 12-Lead podcasts Episode #11: Are we harming patients with oxygen?¬†We finished up the night with food and adult beverages in the […]
2015-02-25 14:33:03
Rollo
The Trouble with Sinus Tachycardia
Had a pt today with a rate @ and around 160, it was indeed sinus tachycardia. The tachycardia was secondary to a stimulant which caused over stimulation of sympathetic nervous system ie sympathomimetic O.D. The treatment was fluid and a benzo. Problem solved.
2015-02-25 00:14:18

STEMI Expert?

  • Click here to find out!
  • 12-Lead ECG Challenge Smartphone App

    Photobucket

    12-Lead ECG Challenge Smartphone App - $5.99

  • Apple iOS
  • Android
  • Amazon
  • Web Based

  • FRN-TV video review
  • iMedicalApps.com review
  • Interested in resuscitation?

    FireEMS Blogs eNewsletter

    Sign-up to receive our free monthly eNewsletter

    Visitor Map / Stats

    Locations of visitors to this page


    LATEST EMS NEWS

    HOT FORUM DISCUSSIONS