Tag Archives: modified chest leads

Modified Chest Leads (was: Modified Leads "On the Ice")

Entry Img

Occasionally I receive emails from readers who ask various questions or submit interesting ECGs which I sometimes use as case studies on the Prehospital 12-Lead ECG blog. Back in November I received an email from a reader who wrote: Hello! I’m currently in Antarctica on a medical support contract. I was issued a 3-lead Lifepak […]

50 year old male CC: Respiratory distress, chest pain

Entry Img

EMS is dispatched to a 50 year old male in respiratory distress. En route, dispatch advises that the chief complaint is actually chest pain. On arrival, the patient is found lying supine on the floor just inside the front door to his house. He is cold to the touch and pale but his skin is […]

62 year old male CC: chest discomfort

Entry Img

EMS is dispatched to a 62 year old male with a chief complaint of chest discomfort. On arrival, the patient is found sitting at the dinner table. He appears acutely ill. Onset: Fairly sudden after sitting down for dinner 20-30 minutes ago Provoke: Nothing makes the pain feel better or worse Quality: Dull pressure/ache Radiation: […]

Right ventricular infarction – Part III

Entry Img

Let’s take a look at another case. This was one of the first ECGs ever transmitted to my local receiving hospital on the Lifenet Receiving Station. It was definitely the first STEMI. The data quality of the first 12 lead ECG wasn’t the greatest. This is the second ECG, with lead V4 in the position […]

Right ventricular infarction – Part II

Entry Img

Let’s look at a case study that demonstrates the potential danger associated with right ventricular infarction. EMS is called to the residence of a 68 year old female with chest pain. On arrival, the patient is anxious, cool, pale, and diaphoretic. Vital signs are assessed. Resp: 20 Pulse: 68 BP: 105/55 SpO2 95 on RA […]

12 Lead ECG – Lead Placement Diagrams

Entry Img

On October 15, 2008, Lynne left me this comment: I’m an EMT-B that just found your blog. My agency allows EMT-Bs to perform 12-leads prehospital, so that doctors and paramedics at the hospital have a printout to look at. Also, if our monitor sees an Acute MI or something critical going on with the heart, […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation
Comments
CC
80 Year Old Male: Fall
You know.. the story says "suddenly he found himself on the ground, which he attributes to tripping on the runner rug in the hallway." If you want to look at the patient first… an unwitnessed fall with that kind of EKG (long qt in particular) in an 80 year old male who has been on…
2014-08-13 04:02:10
David Baumrind
"Treat the patient not the monitor?"- Redux
Jason, thank you for your comments!
2014-08-11 18:21:02
The LITFL Review 141 - LITFL
Pit Crew CPR – The Explicit Details
[…] CPR? Read about it in a brief post by Tom Bouthillet of the EMS 12-Lead Blog. Tom also outlines the entire pit crew CPR model in this post. […]
2014-08-11 02:36:15
Jason
"Treat the patient not the monitor?"- Redux
David- I agree with your post to a point. I wholeheartedly agree with your frustration at those who post the catch phrase in question when we are discussing ekg's on line in a learning environment. This website has no room for the phrase. Give it your best attempt and read what others have to say.…
2014-08-10 17:45:09
The LITFL Review 135 - LITFL
Revisiting Transcutaneous Cardiac Pacing
[…] familiar with the various presentations of false capture while engaging in the procedure? Check out this detailed post from the EMS 12-Lead Blog. […]
2014-08-10 17:14:07

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