Tag Archives: narrow complex tachyardias

The Trouble with Sinus Tachycardia

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  Sometimes recognizing sinus tachycardia can give us fits. What? Sinus tachycardia? One of the most basic rhythms? The discussion that follows will highlight some of the difficulties sinus tach can present at high rates. The pitfalls of using the generalized term "SVT" will also be discussed. This discussion is not meant to imply that […]

24 year old male: "Anxiety Attack" – Conclusion

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This is the conclusion to our case 24 year old male: "Anxiety Attack". Be sure to read Part I before the conclusion! When we left off, our providers were on scene with a young man, in custody, who was pale and had a radial pulse too fast to count. A narrow complex tachycardia was present […]

24 year old male: "Anxiety Attack"

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This great case comes from a long time reader who wishes to remain anonymous. As always, details have been changed to protect patient and provider privacy. You're dispatched on an ALS quick response vehicle by law enforcement requesting EMS to check up on a subject. Dispatch notes indicate officers were called reference a domestic disturbance […]

57 year old male: Chest Discomfort – Conclusion

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This is the conclusion to 57 year old male: Chest Discomfort. We suggest you read the backstory first! We're now in the back of the ambulance with our stubborn 57 year old male with a rapid heart rate. He looks unwell, but is otherwise hemodynamically stable. Our partner is working on a line. Let's review the initial […]

57 year old male: Chest Discomfort

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The following is a great case from Mordy E, and as always some details have been changed to protect patient privacy. You and your partner are refueling your ambulance at a gas station when a woman walks up and asks if you could, "come check out my husband." As you walk over to their car […]

77 year old female: Unresponsive

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This is a great case sent in my a reader who wishes to remain anonymous. We hope you find it as intriguing as we did! After clearing up from a routine interfacility transfer, you're dispatched for a 77 year old female who is unresponsive at a local extended care facility. A BLS engine crew is […]

52 year old male CC: Seizure – Discussion

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This is the discussion for 52 year old male CC: Seizure. Be sure to check out the backstory! We had lots of great comments for this case, and as always many of you were right on target. Let's take a look at the initial 12-Lead: We have a narrow complex tachycardia at 180 bpm, with […]

52 year old male CC: Seizure

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You're working a QRV on a busy weekend, when you get dispatched for a "man down". No transport units are initially available, but a BLS crew from a neighboring town are on their way. Upon your arrival an officer on scene directs you inside to a man he says, "looks like he had a seizure". […]

Discussion for 17 year old male CC: Chest pain and palpitations – WPW Part II

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This is Part II of the discussion for 17 year old male CC: Chest pain and palpitations. You may wish to review Part I of the discussion. As we covered in Part I, our patient was experiencing the life threatening combination of Wolff-Parkinson-White (WPW) and atrial fibrillation. The EMS 12-Lead Blog team broke this conclusion […]

68 year old male CC: Chest Pain

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Here is a great case submitted by a faithful reader who wishes to remain anonymous. As usual, details have been altered to ensure patient and provider confidentiality. Hurricane Irene has kept your night shift wet, windy, and you've bounced from one stranded motorist call to another. Dispatch chimes in and puts you out on a […]

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