Tag Archives: ventricular tachycardia

Discussion for 90 year old male CC: Chest pain– Revisited

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We are revisiting the Discussion for 90 year old male CC: Chest pain.  You may wish to review the case. You may recall we pointed out that the VT appeared be regularly irregular, with alternating cycle lengths: What follows is a "Guest Post" by Jason Roediger, CCT/CRAT, and Ken Grauer, M.D. (www.kg-ekgpress.com): "The rhythm represents […]

74 year old female CC: Chest pain – Conclusion

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This is the conclusion to 74 year old female CC: Chest pain. As usual I enjoyed reading the comments! My goal is to get you guys thinking and it’s nice to see you discuss “stable versus unstable”, the need for sedation, and the importance of considering the Hs and Ts! Let’s take another look at […]

Conclusion to "Not So Fast…" at EMS1.com — Ventricular Tachycardia!

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Not so fast…Patient follow-up.

90 year old female CC: Abdominal pain

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EMS is called to the residence of a 90 year old female who awoke to an “uncontrolled bowel movement” that corresponded with sudden onset abdominal pain. On EMS arrival, the patient is alert and oriented to person, place, time, and event. She has a grimace on her face and appears acutely ill. When asked the […]

Differential diagnosis of wide complex tachycardias – Part I

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There seems to be a lot of confusion with regard to wide complex tachycardias. For some reason, health care providers of all ranks and stripes forget the most basic rule. If it's a wide complex rhythm (fast or slow) it's ventricular until proven otherwise! Reasonable people can disagree as to what constitutes "proof" but you […]

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Comments
Dominic
How to be successful at IV therapy – some advice for paramedic students
I learned from one of my field instructors to squeeze the arm on the opposite side of the insertion site rather than using your thumb to hold the vein straight/still. When you use your thumb you are more prone to not being able to drop the catheter to a proper angle, after flash, in order…
2015-09-03 20:10:24
iliyas
Masters Case #01: 50 Year Old Male – Severe Chest Pain
Short runs of V.T LAD LAHB Widespread st depression with St elevation in avr Lf msin / three vessle disease Not sure about rhythm
2015-08-26 06:34:44
Darren Earley
Masters Case #01: 50 Year Old Male – Severe Chest Pain
1. L.A.D 2. De Winters (ST Elevation aVR, ST abnormality V2-3). 3. Non sustained VT 4.Poor quality ECG so cannot say about p waves or whether A.fib. Pre alert for ppci = evolving occlusion of LAD artery. Aspirin. Pain relief. Diesel
2015-08-25 17:26:50
michelle
Masters Case #01: 50 Year Old Male – Severe Chest Pain
first pt. sat's are to low at 94% for just room air pt. needs hi-flow o2 at 15 lt. min. i see a-fib. with runs of 3. st depression. there is also a chance of pheumonia. after o2 administer fluids, a chest x-ray, monitor the heart and ekg especially where bp is low.
2015-08-25 16:57:39
Ivan Rios
Understanding Adenosine (Adenocard)
Correct, even for stress test, with the same purpose.
2015-08-18 17:07:24

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