EMS 12-Lead: Spot the STEMI #1

You have a 50/50 shot at getting this one right. Are you feeling smart… or lucky?

Two 50-year-old men present complaining of chest pain x 1 hour. One patient is suffering from a very subtle acute STEMI while the other has a non-cardiac cause for his chest pain.

For the conclusion of this challenge please follow this link or click on the ECG above.

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EMS 12-Lead: Conclusion to 43 Year Old Female – Chest Discomfort After Eating

This is the conclusion to our case from last Saturday. I suggest reviewing the original case presentation before diving into the discussion here.

A 43-year-old female presents feeling like there’s a knot behind her sternum. It began suddenly just after eating lunch. This is her initial ECG:

For the conclusion to this case please follow this link or click on the ECG above.

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EMS 12-Lead: 59 Year Old Male – Unwell

It’s the middle of the afternoon when you are dispatched to the residence of a 59 year old male with a chief complaint of general illness.

When you arrive on scene you encounter a middle-aged man in obvious distress, lying on a couch. He is pale, gray, diaphoretic, and drowsy. He states that he has felt drained for the past 8 hrs—unable to catch his breath or get up off the couch—with a heavy sensation in his chest. 30 minutes prior to your arrival he vomited and felt like he was going to pass-out so he decided to call 911.

For the rest of this case follow this link or click the ECG below.

Click image for case details.

 

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EMS 12-Lead: What If We’re Wrong? Prehospital ECG Interpretation

This article is part of a special one-day EMS blogging event called the What If We’re Wrong a-Thon. Spearheaded by Brandon Oto over at EMS Basics, the WIWWAT is an exercise in self-reflection where EMS writers examine a topic on which that they’ve historically taken a strong stance, but from the opposite point-of-view. For more posts from around the EMS community as part of the What If We’re Wrong a-Thon, check out this page.

What if we’re wrong about the utility of prehospital interpretation of 12-lead ECG’s? For my examination of this question follow this link or click on Dr. Perry Cox’s face below.

Click image for article.

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