Tag Archives: Syncope

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 patient may be having a stroke. On arrival the patient is found lying in bed. He […]

66 year old male CC: Syncope x3

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You are dispatched to an "unknown medical complaint." En route to the scene, dispatch advises you that a 66 year old male is complaining of a fall with injury, chest pain, left arm pain, and nausea. On arrival, the patient is standing in his kitchen. He is pale and extremely diaphoretic. You direct him to […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
The LITFL Review 140
Conclusion to Masters Case #02
[…] out the conclusion to an extremely challenging EKG case from the EMS 12-Lead blog. For maximum learning, read part one first. […]
2014-11-24 20:43:03
The LITFL Review 140
Masters Case #02: 60 Year Old Female – Chest Pain, Hx of Pericarditis
[…] conclusion to an extremely challenging EKG case from the EMS 12-Lead blog. For maximum learning, read part one first. […]
2014-11-24 16:26:31
Stuart
Anterior T wave inversions and PE.
Studies (can't remember them off the top of my head) have shown that TWI in V1-4 + III is 85% likely to be RV strain, 15% ischemia. If I see anterior TWI, the very next lead I look to is III
2014-11-23 18:00:51
Arlene R
The Trouble with Sinus Tachycardia
It has been very insightful for me as i read this post. Thanks to the may people who commented. Like many nurses, I was also taught to differentiate svt from st by rate and now I stand corrected. I have a Telemetry test coming up soon, I wont have the patient in front of me…
2014-11-20 19:59:33
Nick
100 yof CC: Rib pain and intermittent spasms
Can't be a potassium imbalance. The TW's wouldn't change and then change back. If it was coronary spasm, I would expect some ST segment elevation. The TW'S are also not hyperacute (peaked). Does she wear some sort of electronic stimulator?
2014-11-19 01:05:43

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