Tag Archives: Pardee’s sign

ST segment morphology

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In a previous post, we discussed the problem of ST segment elevation. Because acute myocardial infarction (STEMI) is not the most common cause of ST segment elevation in chest pain patients, we need to consider other factors like reciprocal changes to shore up the diagnosis. It’s also a good idea to be well versed in […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation
Brooks Walsh MD
“Bad heartburn” – 82 y.o. female without chest pain.
Chris - two thoughts. First, what's the best data on sens/spec for STEMI in the lp-15? Second, welcome to the >= 30 club!
2014-08-21 15:29:26
“Bad heartburn” – 82 y.o. female without chest pain.
I'm shocked the computer missed this one! Pretty clean baseline, easy to find J-points...I think the incorrect QRSd tripped it up. Should send this to PhysioControl, especially if this is from an LP15. I'm sure the Glasgow folks would love to get their hands on the data for this tracing.
2014-08-21 14:36:24
“Bad heartburn” – 82 y.o. female without chest pain.
oh I forgot one more thing, where are the P waves ?? hard to see on this phone but is it junctional or a block ?? If it's a heart block then there is more evidence of ischaemia to the Node. ...... which is isn't good.....
2014-08-21 12:59:09
“Bad heartburn” – 82 y.o. female without chest pain.
Good treatment by all. Well done Jessica for being the first. .... I would use morphine instead of fentanyl due to BP dump and future use of amiodarone but very small doses 1-2 mg. Two good reasons two steer clear of GTN 1. Inferior AMI 2. HR 40. Both Will reposition the Pt on the…
2014-08-21 12:29:43
“Bad heartburn” – 82 y.o. female without chest pain.
I'm on board with most of the convents so far. No need to elaborate. I would add maybe a dissection into the aortic root causing RCA occlusion. Not going to know without imaging. Call cath from the field regardless.
2014-08-21 07:41:17

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