Tag Archives: wide QRS tachycardia

63 year old female CC: Chest Pressure

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Here's a case from a faithful reader who wishes to remain anonymous.  As usual, some information has been changed to protect patient confidentiality. You are called to transfer a 63 year old female from a community hospital to a large medical center. Upon arrival at the local hospital, you are confronted with chaotic scene. You […]

Discussion for 17 year old male CC: Chest pain and palpitations – WPW Part II

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This is Part II of the discussion for 17 year old male CC: Chest pain and palpitations. You may wish to review Part I of the discussion. As we covered in Part I, our patient was experiencing the life threatening combination of Wolff-Parkinson-White (WPW) and atrial fibrillation. The EMS 12-Lead Blog team broke this conclusion […]

90 year old female CC: Seizure – Conclusion

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This is the conclusion to 90 year old female CC: Seizure. Be sure to start there first! When we left off, we had completed our initial assessment of a 90 year old patient who, based on bystander accounts, had a seizure. She is pale, cold to the touch, and feels lethargic. During our assessment she […]

90 year old female CC: Seizure

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This interesting case is thanks to Dana from Redmond Medic One, we hope you enjoy it as much as we did! You're dispatched with a nearby engine company to an assisted living facility for a 90 year old female who has had a seizure. Dispatch notes indicate the patient is alert at this time. You're by […]

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 […]

74 year old female CC: Chest pain

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Is there anything else you’d like to know about this patient?

78 year old male CC: Dizziness – Conclusion

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There were so many great comments on this case, including some great discussion on classifying wide complex tachycardias!

78 year old male CC: Dizziness

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Out front you are met by the patient’s wife, who frantically directs you inside…

12 year old male CC: Palpitations

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Here’s a case submitted by Bob Sullivan, NREMT-P from New Castle County EMS in Wilmington, DE. The case occurred six years ago so certain details are missing. However, there is more than enough here to discuss the most relevant points about the case. The patient was a 12 year old male whose only complaint was […]

68 year old male CC: Chest Pain

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Here’s another great case submitted by Robert Bees. EMS is called in the very early morning to a 68 year old male complaining of chest pain and shortness of breath. On arrival, the patient is anxious and appears acutely ill. He is oriented to person, place, and time. Skin is cool, pale, and diaphoretic. The […]

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