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Acute Inferior STEMI with Right Ventricular Infarction and Cardiac Arrest
EMS (with physician on board) is dispatched to a 42-year-old male with a chief complaint of chest pain and “possible heart attack.” The patient is found lying on the couch. He appears to be reasonably comfortable and indicates that “the pain has eased a bit” since EMS was contacted. While the patient is being undressed […]
January 11, 2016
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Chest Pain and Transient ST-Segment Elevation
EMS was called to an office building for a 61-year-old male complaining of chest pain. Just prior to EMS arrival the patient became nauseated and lightheaded. When they found him he was lying supine on the floor and appeared ashen. Onset: 45 minutes ago following a meeting with an important client Provoke: Nothing makes the […]
January 3, 2016
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Syncope with Acute Inferior STEMI and 3 Different AV Blocks
This is a case from the “old days” when prehospital 12-lead ECGs were still a bit of a novelty. Many of the details have been lost to time but patient’s heart rhythms will be the focus of this review. The patient was a young woman in her late 40s who presented with syncope while playing […]
December 28, 2015
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Wide Complex Tachycardia Treated With Amiodarone and Synchronized Cardioversion
A 55 year old male presents to EMS with complaint of intermittent shortness of breath. Symptom onset occurred while he was taking his daily walk about 15 minutes prior to EMS arrival. The patient has a Glasgow Coma Score of 15, with a patent airway, clear lung sounds, and mild respiratory distress. Strong and regular […]
December 21, 2015
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How to Master Tracheal Intubation
According to the 2000 AHA ACLS Guidelines, tracheal intubation should only be attempted “by healthcare providers experienced in performing this skill”, and expand further by stating that “ALS providers unable to obtain regular field experience… should use alternative, noninvasive techniques for airway management”. This year ILCOR examined evidence to determine if one airway is superior […]
December 15, 2015
