HiTo me, if you didn't write Artefact, probably i was thinking of VF or Torsade de Pointes, but since you made me to be preoccupied by Artefact, i will say...
12793
Christopher A. Watford
christophera...
Apr 1, 2010 6:38 pm
Recently a 46 year old male patient presenting to EMS crew with chest pain rated 7 of 10. After sitting down on the stretcher, patient stated, "my heart is...
12794
rwj3032
Apr 2, 2010 12:16 pm
Nice ECG. Looks remarkably similar to a patient we treated last week who turned out to have V-Tach with WPW. We think we see a delta wave in these complexes....
12795
Brandon Oto
tagbagzag
Apr 2, 2010 4:29 pm
I'm inclined to think atrial flutter with WPW (or other accessory pathway) and 1/1 conduction. Cardiovert? I'm not sure what's going on in the high lateral...
12796
alisonsuarez
Apr 4, 2010 6:12 pm
Any wide complex tachycardia should be treated as vtach until proven otherwise. If the patient is demonstrating any signs of instability ie chest pain, sob,...
12797
Chyril Sparks
chyrils
Apr 5, 2010 12:59 am
If you ever wondered just how far medicine has progressed, here is the treatment for Paroxysmal Tachycardia from 1950 straight from a nursing book. We all know...
12798
PMATERAMD@...
pmateramd
Apr 5, 2010 2:59 pm
Chyril I will take the other position as it seems to me that little has changed ... New toys yes ... New physiology no. I have used all the methods noted in...
12799
Erskine A. James
medintern
Apr 5, 2010 3:36 pm
Paul, I was thinking the exact thing. Oft times the conservative approach is best approach. "PMATERAMD@..." <PMATERAMD@...> wrote: Chyril I will take...
12800
wegandy1938
wegandy
Apr 6, 2010 5:21 am
Down in Texas we just pull out our .45 and fire a shot through the ceiling. Â The noise startles the patient and cures the SVT. Â If it recurs, we just shoot...
12801
Nick Nudell
mtparamednick
Apr 6, 2010 5:58 am
This reminds me of a recent patient I helped with in a rural ED. You have now entered the twilight zone. Family of 65 year old male called hospital to advise...
12802
wegandy1938
wegandy
Apr 6, 2010 8:33 am
Shoot him. Â No, wait! Â Â What are his meds? Â When you say "wide QT" how wide? Can meds be causing that? Â Could this just be sinus tach from hypoxia?...
12803
PMATERAMD@...
pmateramd
Apr 6, 2010 10:09 am
I will add that one to my treatment list gene :-). 45acp or 45 colt like a good Texan. Paul Matera, MD Sent from my Verizon Wireless BlackBerry ... From:...
12804
jon levine
levine_jon
Apr 6, 2010 11:30 am
But you've left the "best" practice out. Maybe it was only popular around here (boston) it was the adaptation of "ne Jon Levine EMT-P I/C EMS Training LTD. 140...
12805
jon levine
levine_jon
Apr 6, 2010 11:54 am
Sorry about the previous incomplete message, I seem to have a hair trigger on the send function. But as I was saying: But you've left the "best" practice out....
12806
Tom Bouthillet
code3insc
Apr 6, 2010 12:27 pm
Grabbing someone's head and shoving it into a bucket of water does sound strangely satisfying... but not you, Mom. Sent from my iPhone...
12807
Andrew J Bowman
sumieb_6962
Apr 6, 2010 12:48 pm
Many many moons ago I had a patient with svt. This was way before adenocard. He was VERY obese. The ER doc wanted us to do the facial ice water immersion....
12808
Scott Beaudoin
skot324
Apr 6, 2010 8:56 pm
Without seeing the ECG, I wonder if the P wave is merging with the T wave to give the appearance of an SVT w/ prolonged QT. I have seen this a few times. My...
12809
PMATERAMD@...
pmateramd
Apr 6, 2010 11:16 pm
Your Von Braun quote cracked me up thanks I needed that Sent from my Verizon Wireless BlackBerry ... From: Andrew J Bowman <andrewj.bowman@...> Date:...
12810
Nemo N
sailornemo
Apr 7, 2010 10:13 pm
hi doctors, hru all ? i have Q ? patient presented to ER with stucked valve and rapid AF ( average rate 140) and the patient is shocked . How can i deal with...
12811
Nick Nudell
mtparamednick
Apr 7, 2010 10:43 pm
Hi Nemo, I'm sure we'd all be glad to help you with a cardiac related question but it would help if you communicated more clearly what the question is. ...
12812
PMATERAMD@...
pmateramd
Apr 7, 2010 10:43 pm
howdy, i am not sure i know what a stucked valve is however IF it is a fib and IF the HR is only 140 there must be more going on a HR of 140 should be easily...
12813
wegandy1938
wegandy
Apr 8, 2010 1:02 am
!!! Â Every now and then somebody on here says something that I want to have tattooed on my students' arms where they can always see it.!!! Paul's little...
12814
Nick Nudell
mtparamednick
Apr 8, 2010 1:06 am
Replying now to the case presentation. Nasal CO2 was not available in the ED although if they had asked for paramedic intercept it would have been. I'm pretty...
12815
PMATERAMD@...
pmateramd
Apr 8, 2010 1:36 am
anytime gene, you should have your students monitor/participate in the club they would learn a lot from all of our collegeal chatter on various ecg topics,...
12816
wegandy1938
wegandy
Apr 8, 2010 2:39 am
Actually Paul, some of my now-ex-students (class just finished) have joined. Â Next class I will make it a requirement. Â You are so right that having...
12817
Scott Beaudoin
skot324
Apr 8, 2010 5:34 pm
By your description, the patient is not in SVT (well at least not an AVNRT). My concern would be directed at his hypoxia and respiratory distress (assumption...
12818
spenair
Apr 9, 2010 1:52 pm
Yes Gene I curse at you and Jane often for getting me in the mindset that I can not settle for the simple answer I need to dig and find out all the whys and...
12819
Nick Nudell
mtparamednick
Apr 9, 2010 2:02 pm
Renny - that is excellent news! I'm glad to hear they have inspired you to use critical thinking skills to gain knowledge, true knowledge. The area of ...
12820
Christopher A. Watford
christophera...
Apr 9, 2010 2:05 pm
I'm with Renny, this list is an invaluable resource for Paramedics (both new and seasoned). It has certainly sharpened my skills and constantly has me...
12821
wegandy1938
wegandy
Apr 10, 2010 2:29 am
Renny, We all learn from this and other good forums. Â I do wish more folks would join and become involved. Â I have learned many things from this forum. Â Why...
