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63 Year Old Female, CC: Neck and Arm Pain–Discussion
This is the discussion for our recent case 63 Year Old Female, CC: Neck and Arm Pain. Let's revisit the 12 Lead ECG: There "appears" to be a Sinus Brady rhythm at a rate of about 52 bpm, with a first...
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All that wiggles isn’t Wellens’
This is the discussion for our Snapshot Case involving a 45 year old female complaining of chest pain. Here is the 12 lead for review: There is sinus rhythm at about 75...
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74 Year Old Male: Chest Discomfort
It’s a sunny winter afternoon when you and your partner are called to a local doctor’s office for an “adult male- possible heart”. When you arrive, you are led into room #3 where you find a 74 year...
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70 Year Old Male: Short of Breath
Good morning sports fans! You are dispatched to the residence of a 70 year old male, complaining of “shortness of breath”. You pull up to a well kept home, and are met at the front door by the...
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Discussion for 70 Year Old Male: Short of Breath
This is the discussion for “70 Year Old Male: Short of Breath“. Tough case. Lots of excellent comments and observations from our readers. Right off the bat, the patient’s presentation offered a...
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57 Year Old Male–Chest Discomfort
It is a bright Sunday morning when you and your partner are dispatched for an “adult male-chest pain”. You arrive at a well kept residence, noting a ladder and paint cans as you enter. You find your...
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Snapshot Case- No Day at the Beach
It is a beautiful summer afternoon when you and your partner are called to the beach for a “swimmer in distress”. Upon your arrival, you find a 48 year old male sitting on a beach towel, appearing to...
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Rapid Prehospital Evolution of STEMI
82 year old male, in good physical shape, stops at a cafe for lunch after cycling for an hour. Witnesses report a syncopal episode lasting approximately 30 seconds. Patient history significant for...
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71 Year Old Male: Chest Discomfort- Discussion
Here is the discussion for “71 year old male: chest discomfort” let’s review the prehospital 12 lead: Here are the precordial leads blown up: There is slight ST elevation in V1, ST elevation in...
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58 Year Old Male, Workout Worry
Your Paramedic crew is called to the home of a 58 year old male, “possible heart” Upon arrival to the home, you are greeted by the gentleman’s wife, who directs you to your patient. You find him...
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