Tag Archives: LBBB

CONCLUSION: 87YOM COMPLAINING OF CHEST DISCOMFORT AND DYSPNEA

Entry Img

This is the conclusion of the previous case: http://ems12lead.com/2014/01/87-yom-complaining-of-chest-pain-and-dyspnea/ So, as mentioned before, you obtain this 12 lead ECG: A few minutes later, the LIFEPAK 15 prints out another 12 lead ECG: Although the computer suggests Atrial fibrillation, this irregular tachycardia has a group beating pattern with presence of P waves prior the QRS complexes and […]

87 YOM COMPLAINING OF CHEST DISCOMFORT AND DYSPNEA

Entry Img

  It’s a sunny morning, and your EMS unit is dispatched to a residence for an 87 year old male with difficulty breathing.   You arrive on scene before the fire engine and enter the residence. Upon entering the bedroom, you find an elderly male, sitting on the edge of the bed, vomiting. He is alert and oriented x 4 (person, […]

Snapshot Discussion: 32 year old Male–Chest Discomfort

Entry Img

Here is the discussion for the Snapshot Case: 32 year old male–Chest Discomfort. Sorry for the delay. If you recall, we have a young patient, a 32 year old male, with a heart rate too rapid to count. He is alert and oriented, and has a good pressure (126/70). He has been in the following […]

64 year old female CC: Trouble Breathing – Conclusion

Entry Img

Lots of great comments and it was good to see the depth of discussion on the appropriate treatment and transport for this patient! This is the conclusion to 64 year old female CC: Trouble Breathing. When we left off our crew was attending to an elderly female patient in respiratory extremis. Pulmonary edema was present […]

29 year old female: Unresponsive

Entry Img

Thanks go to an anonymous reader for this excellent case, as always we hope you find it as interesting as we did! As always, details have been changed where appropriate to protect patients and providers. You're on an ALS fly-car dispatched for an unresponsive female, a BLS ambulance and engine company are already en-route. You […]

An unusual case of left bundle branch block (60 year old male CC: Shortness of breath)

Entry Img

Here’s a really interesting case submission from David Baumrind. EMS is called out in a rain storm to evaluate a 60 year old male with a chief complaint of shortness of breath.

Excessive discordance as a marker of acute STEMI in LBBB

Entry Img

Positively deflected QRS complexes can be expected to show ST-depression and inverted T-waves.

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 male CC: Chest pain

Entry Img

Here’s an interesting case sent in by a faithful reader who wishes to remain anonymous. EMS is called to the residence of a 58 year old male complaining of chest discomfort. On arrival the patient is found sitting on the edge of the bed. He is anxious but alert and oriented to person, place, time, […]

79 year old male CC: Shortness of breath

Entry Img

Here’s another interesting case submitted by Geoff Dayne. 79 y/o male c/o non-provoked SOB without CP. Patient was found sitting upright, tripodding, 1 word dyspnea. Lung sounds: extremely decreased tidal volume. EMS crew was unable to tell if there was rales or wheezing. Past medical history: HTN, dyslipidemia, CHF, pacemaker (recently implanted within a week […]

Page 1 of 212