Tag Archives: Identifying AMI in the presence of LBBB

An unusual case of left bundle branch block – Discussion

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It turns out this patient was experiencing a STEMI.

80 year old male CC: Chest pain

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Here’s a case submitted by a faithful reader who wishes to remain anonymous. It’s a great case and destined to be one of my favorites! EMS is called to evaluate a 80 year old male patient with a chief complaint of chest pain. On arrival the patient is found sitting on his living room couch. […]

58 year old female CC: Chest pain

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Here’s another case study from an international reader who wishes to remain anonymous. Presenting Complaint – Chest Pain History of Present Complaint – 58 year old female, nil cardiac history, mild smoker, social drinker and overweight. Complaining of acute central chest pain @ rest. Awoken by pain. On Arrival – Sat upright on settee (Editor’s […]

62 year old male CC: Chest pain

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62 year old male presents to the emergency department complaining of chest discomfort. Past medical history is significant for dyslipidemia and ulcerative colitis. Also prior history of significant tobacco use. Maternal history of CAD. Maternal and paternal history of stroke. The patient’s only medication is Lipitor but he took an aspinin en route to the […]

Found on the Lifenet Receiving Station

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Is there anything about this ECG (other than the poor data quality) that interests you? The patient was a 90 year old male, fall with injury. Also complaining of pain between the shoulder blades. *** UPDATE *** This ECG caught my eye because it satisfies one of Sgarbossa’s criteria for the identification of AMI in […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Proficiency vs Deficiency… The Art Of Electrocardiography | EMS 12 Lead
Understanding Amiodarone
[…] on the highlighted title for an Amiodarone breakdown, UNDERSTANDING AMIODARONE   One tool I use in these cases of bradycardia, is SPo2 monitoring. Remember, with every systole […]
2015-05-22 16:59:43
Wayne
12 Lead ECG – Lead Placement Diagrams
I have been doing EKG's for the past thirty years. It use to be that you always lay the patient in the supine position but here lately I have been told that with the patient sitting up right will not change the EKG, is this so ?
2015-05-21 17:37:37
Ivan Rios
Understanding Atropine
Hi Tony, thank you for writing. It's always a bit of a gamble to give opinion in such topics without being there, however, addressing ventilation is a must. The rate could be secondary to vagal stimulation and/or respiratory depression, but it sounds like the patient is compensating pretty well when it comes to the hemodynamic…
2015-05-21 12:55:43
Tony Correia
Understanding Atropine
Looking for an opinion. Had a pt. who was unconscious from unknown etiology, Agonal respiration = 6, SPO2 = 59, heart rate =37 sinus bradycardia, B/P = 137/80 . We ventilate the pt. approx for 2 minutes without change in status. Would you have administered atropine or continue with BVM to attempt to correct hypoxia,…
2015-05-21 12:16:26
dan
57 year old male: Chest Discomfort
I'm sorry but I don't see any flutter here. With a rate of 150 we are at the very upper limit of sinus tach. No O2 is indicated with a pulse ox of 94%, especially if you are thinking cardiac. Place in position of comfort, large bore IV, fluid bolus, ASA, nitro, capnography, complete assessment…
2015-05-14 03:50:36

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