Tag Archives: Identifying AMI in the presence of LBBB

An unusual case of left bundle branch block – Discussion

Entry Img

It turns out this patient was experiencing a STEMI.

80 year old male CC: Chest pain

Entry Img

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

Entry Img

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

Entry Img

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 CVA. The patient’s only medication is Lipitor but he took an aspinin en route to the […]

Found on the Lifenet Receiving Station

Entry Img

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

JEMS Talk: Google Hangout

Comments
Eric Strong
Axis Determination – Part VI
This is a great discussion of axis determination. One minor suggestion: I think it's potentially misleading to refer to an axis between 0 and -30 as "physiologic left axis deviation", since "axis devitation" implies deviation from normal, and axes between 0 and -30 are perfectly normal, (depending on age and body habitus). It may be…
2014-10-05 17:09:00
Ian
Right ventricular infarction – Part I
Can you give me a little more info on hypervagotonia? I googled around for some info but there doesn't seem to be much info and it's a term I've never heard before. Thanks!
2014-10-05 15:09:24
68 y.o. male w/ weakness: conclusion – “Treat the monitor.” | EMS 12 Lead
HyperK and Shades of Grey: Myths and Facts about Hyperkalemia Part I
[…] Myths about hyperkalemia […]
2014-10-05 01:54:53
68 y.o. male with weakness: “Treat the monitor, not the patient?” | EMS 12 Lead
68 y.o. male w/ weakness: conclusion – “Treat the monitor.”
[…] The conclusion, with the diagnosis, is now available. Click to go […]
2014-10-05 01:36:36
SFL Medic
68 y.o. male with weakness: “Treat the monitor, not the patient?”
Destination: ED with most to offer. He's 68 and weak. I'm in Florida...we have people with their favorite Dx on their car tags around here, so that doesn't bother me. Neither does diminished lungs. Altered mental status does. And the ECG looks like an old oscilloscope...which I've used in the field (MRL)...which tells me high…
2014-10-04 21:44:53

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