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Posts Tagged: Ems12lead Com

Snapshot Discussion: 32 year old Male–Chest Discomfort

Here is the discussion for the Snapshot Case: 32 year old male--Chest Discomfort. Sorry for the delay. If you recall, we have a young patient, a 32 year old male, with a heart rate too rapid to count. He is alert and oriented, and has a good pressure (1… Read More »

63 Year Old Male: “Dental Pain” — Discussion

This is the discussion to "63 year old male: "Dental Pain". You may wish to review the case. For starters, i think we all agree that the patient, with his signs and symptoms, needs to be transported. We have all had patients like this who… Read More »

69 year old female CC: Shortness of breath, weakness

Here's a case submitted by a faithful reader who wishes to remain anonymous. He has submitted several cases before and they are always excellent so thank you, Mr. Anonymous!  EMS is called to the residence of a 69 year old female who is complai… Read More »

Team EMS 12-Lead brings home Judges’ Choice for 2012 EMS Blog of the Year

On behalf of Team EMS 12-Lead (Tom Bouthillet, David Baumrind and Christopher Watford) I am pleased to officially acknowledge that the EMS 12-Lead blog won Judges' Choice for 2012 EMS Blog of the Year. This contest was hosted by EMS1, Fi… Read More »

88 year old male CC: Chest pain – Conclusion

This is the conclusion to 88 year old male CC: Chest pain. You may wish to go back and review the history and clinical presentation. First, let's look at the rhythm strip. This shows an undetermined regular rhythm at a rate of about 60 with deman… Read More »

88 year old male CC: Chest pain

EMS is called to a 88 year old male with a chief complaint of chest discomfort. On arrival the patient meets EMS at the front door. His skin is slightly pale and moist. He appears anxious. Past medical history: "Cardiac", pacemaker, hypert… Read More »

63 year old female CC: Chest Pressure

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 c… Read More »

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

This is Part I of the discussion for 17 year old male CC: Chest pain and palpitations. You may wish to review the case. If you recall from the case, our crew was performing an interfacility transport of a 17 year old male with a rapid, irregular tachyca… Read More »

17 year old male CC: Chest pain and palpitations

Here's a great case submitted by a faithful reader who wishes to remain anonymous.  Some details have been changed to ensure patient confidentiality. You are called to the local ER to transfer a 17 year old male to a large metro hospital for ev… Read More »

Discussion for 90 year old male cc: chest pain

I hope you all had happy holidays! Here is the discussion for 90 year old male cc: chest pain.  You may wish to go back and review the case. So, let's get into the case!  There are the usual questions we need to answer as we try to determ… Read More »

90 Year Old Male CC: Chest Discomfort

HAPPY HOLIDAYS! Here's an interesting case submitted by a faithful reader who wishes to remain anonymous.  As usual, some details may have been changed to protect patient confidentiality. You are called to the residence of a 90 year old male.… Read More »

90 year old male CC: “Possible stroke” – Conclusion

This is the conclusion to 90 year old male CC: "Possible stroke". You might want to go back and familiarize yourself with the details of the case. Let's take another look at the 12-lead ECG. Now with the computerized interpretive algorit… Read More »

90 year old male CC: “Possible stroke”

EMS responds to a 90 year old male with a "possible stroke". On arrival the patient is found sitting on the toilet (lid down). His spouse states that he had walked outside to retrieve the newpaper when he lost his balance and skinned his knee.… Read More »

Elderly Female: Chest Pain-Discussion

This is the discussion for Elderly Female: Chest Pain. You may wish to review the case. Ok, this was not an obvious case, at least, not until the end.  As far as the patient goes, I think we all agree about the differentials: ACS vs. possible aorti… Read More »

Elderly Female: Chest Pain

As usual, some minor details were changed to protect the patient as well as the providers. You are called to the residence of an 82 year old female, chief complaint: chest pain. As you arrive, you and your partner find the woman sitting just inside the… Read More »

83 year old male CC: “Cardiac patient in distress” – Conclusion

This is the conclusion to 83 year old male CC: "Cardiac patient in distress". You may wish to check out the previous post for details about the patient's clinical presentation. Let's take another look at the 12-lead ECG. This ECG sh… Read More »

83 year old male CC: “Cardiac patient in distress”

EMS is dispatched to a "cardiac patient in distress". On arrival paramedics are led to the bathroom where the patient is found sitting on a foot stool. He is conscious but appears acutely ill. Skin is pale and he is slumped over. He states tha… Read More »

12-Lead ECG Challenge app now available for Android and Apple iOS

In a previous review of the ACLS Review app by Limmer Creative I announced that I was working together with Limmer Creative to create a 12-Lead ECG Challenge app. I'm pleased to announce that the app is now available for Android and Apple iOS! The… Read More »

Conclusion to 88 year old male CC: Chest pain

This is the conclusion to 88 year old male CC: Chest pain. You may wish to review the previous post for the history and clinical presentation. Let's take another look at the 12-lead ECG. Now with the computerized interpretation. This 12-lead E… Read More »

Syncope and sudden death in student athletes Part 2 – EMS 12-Lead podcast Episode #2

EMS 12-Lead podcast - Episode #2 - Syncope and sudden death in student athletes Part 2 [powerpress] In this episode Tom Bouthillet and David Baumrind are joined by Trudie Lobban of STARS (Syncope Trust And Reflex anoxic Seizures) -- a not-for-profit … Read More »

88 year old male CC: Chest pain

EMS is called to the residence of a 88 year old male patient with a chief complaint of chest pain. On arrival the patient is found standing at the front door. He appears anxious and acutely ill. Skin is pink and warm but diaphoretic. The patient is le… Read More »

68 year old male CC: Chest Pain

Here is a great case submitted by a faithful reader who wishes to remain anonymous. As usual, details have been altered to ensure patient and provider confidentiality. Hurricane Irene has kept your night shift wet, windy, and you've bounced from one… Read More »

46 Year Old Female: Injuries From a Fall- Discussion

This is the discussion for 46 year old female: injuries from a fall. You may wish to go back and review the case. To begin with, lets review the patient presentation.  Is there anything based on presentation that raises red flags for Acute Coronary… Read More »

46 Year Old Female: Injuries From a Fall

Here's a great case submitted by "Phil"... As usual, some details have been changed to preserve patient confidentiality. It's 9 am, and you and your partner are called to an apartment complex for a 46 year old female, injuries from a f… Read More »

47 year old male CC: Crushing chest pain – Conclusion

Here is the conclusion to 47 year old male CC: Crushing chest pain. You may want to go back and read the original case presentation to see how we got to this point. When we left off we had this rhythm on the monitor and surprisingly the patient was con… Read More »

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