Tag Archives: Syncope

Conclusion to 80 Year Old Male: Fall

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This is the conclusion to 80 Year Old Male: Fall. If you do not remember the particulars, check out the original post and then come back here to find the “answer” and summary. Case Review You arrived on scene to meet an 80 year old patient who was found on the floor after suffering what […]

80 Year Old Male: Fall

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A previously well 80-year-old experienced a fall at his home where he lives alone. He was walking from the living room to the kitchen when suddenly he found himself on the ground, which he attributes to tripping on the runner rug in the hallway. “My son has been telling me to get rid of that […]

Syncope and sudden death in student athletes – EMS 12-Lead podcast Episode #1

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EMS 12-Lead podcast – Episode #1 – Syncope and sudden death in student athletes. Tom Bouthillet, David Baumrind and Christopher Watford are joined by Dr. John Mandrola from the Dr. John M blog. We discuss sudden death in student athletes, the controversy surounding the prescreening of student athletes, the need for AEDs in the schools, […]

17 year old male CC: Syncope – Discussion

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This is the discussion for 17 year old male CC: Syncope. You may wish to go back and familiarize yourself with the details of the case. Let's take another look at the 12-lead ECG. It wasn't that long ago that I was trying to convince paramedics to perform 12-lead ECGs on chest pain patients. I […]

17 year old male CC: Syncope

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EMS is called to a local restaurant on a very hot day for a 17 year old male patient who experienced a syncopal episode. On arrival the patient meets the ambulance in the parking lot and says, "Hey, man, I'm really sorry. We don't need the ambulance."  Paramedics asks what happened and he says, "I […]

13 year old female CC: Syncope – Discussion

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This is the discussion for 13 year old female CC: Syncope. You may wish to go back and familiarize yourself with the details. The short of it is that on a very hot and humid day a 13 year old female passed out after looking at her sister's scraped knee. She had passed out at […]

13 year old female CC: Syncope

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EMS is called to a local hardware store for a 13 year old female with a possible seizure. On arrival the patient is found sitting outside at a picnic table. Her mother and father are both present. The ambient temperature is hot and humid. The patient's skin is very warm and moist but chalky. Her […]

Holiday Heart at 510 Medic

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I’m not sure if I ever formally recommended the 510Medic blog authored by Patrick Lickiss at 510Medic.com, but he’s been in my blogroll for some time now. He’s also one of the contributors to the burgeoning EMS Research podcast. It’s an excellent EMS blog that deserves to be followed and read, so please check him […]

63 year old male CC: Syncope

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He denies chest discomfort, palpitations, or shortness of breath.

37 year old male CC: Unconscious

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EMS is called to evaluate an unconscious 37 year old male. En route to the scene dispatch advises paramedics that the patient is now conscious and may have experienced a syncopal episode and seizure-like activity. The spouse believes that the patientmay be having a stroke. On arrival the patient is found lying in bed. He […]

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
UK Student Para
68 y.o. male with weakness: “Treat the monitor, not the patient?”
Am I really the only one considering CVA in my diffential diagnosis? Hx of AF puts the Pt at increased risk of a clot and Warfarin puts him at increased risk of a bleed. Where I come from we do not have a computerized rhythm interpretation on our ECG which I really like because it…
2014-10-01 07:36:14
Anonymous
Conclusion: Rate Related VS Primary ST-T Changes
I am wondering why all these cardiac patients in the discussions still receive oxygen so frequently? My guidelines state only administer if <94% to achieve 94% or above unless they have COPD. My understanding is this guideline is based upon evidence of high flow 02 causing coronary vasoconstriction therefore increasing ischemia. So what's the deal,…
2014-10-01 02:57:40
Anthony Garlick
68 y.o. male with weakness: “Treat the monitor, not the patient?”
So my working clinical impression would be hypoglycaemia with possibly dehydration and an electrolyte imbalance. Reasoning for this is that the patient frusemide and metolazone are both diuretics are known to cause these problems. ECG does have a wide and bazar QRS complex with ? ? AV disassociation plus what looks to be peaked T…
2014-09-30 22:22:35
Rate Related VS. Primary ST-T Changes: | EMS 12 Lead
Conclusion: Rate Related VS Primary ST-T Changes
[…] Conclusion:   http://www.ems12lead.com/2014/09/29/conclusion-rate-related-vs-primary-st-t-changes/ […]
2014-09-29 16:55:01
Conclusion: Rate Related VS Primary ST-T Changes | EMS 12 Lead
Understanding Digoxin
[…] For furhter on Digoxin, click on the link:  Understanding Digoxin […]
2014-09-29 16:42:59

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