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 […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Vince DiGiulio
Transcutaneous Pacing Success!!! Part 2
Thanks! I've yet to have a chance to check heart tones during TCP but I'll try to make it a priority next time to see how well it works for me.
2015-03-30 04:37:42
Snapshot Case: 85yo M – Chest Pain | EMS 12 Lead
Conclusion to Snapshot Case: 85yo M – Chest Pain
[…] UPDATE: Conclusion to this case. […]
2015-03-29 19:54:59
Jake
47 year old male CC: Crushing chest pain
I know this is old, but it just popped up on facebook so I'll go ahead and put in my $0.02 worth. With that hx and that 12-lead, there's no question this is an acute STEMI. I'm comfortable calling that third strip Torsades (assuming I've verified it's not an equipment issue). The defib pads are…
2015-03-24 14:14:19
Ngan Thanh
17 year old male CC: Syncope
I thinks about WPWs on ECG!
2015-03-21 23:27:41
bob
Adenosine for sinus tachycardia: Try to avoid this!
I have a better answer for Shay's patient (and Mel) and it's called lone a-flutter because I just had it diagnosed in me. I'm looking at my ekg showing a rate of 230 which fooled the doc who thought it was svt's until I told him I had no history of anything and talked him…
2015-03-21 21:57:17

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