I've finally figured out how to attach files... On a Sunday evening, I went to this call for a 47 y/o female dialysis patient c/o SOB and increased feeling ...
Wow. Impressive EKG, Marc. These really seem to confound the computer interpretations. Look at the computer measurement of the QRS interval! This is far too...
Marc Hey great scans! Your Lead I looks exactly like what I draw for my students. I think it would be good for the group if you could share your thoughts and...
Marc Take a look at Marcs case. That is a perfect example! I will take a look at my cases again and see what to share... the problem is I no longer remember...
Hi Everyone, Back in 96 when I started paramedicine.com my dream was to make a site that was truly 'by paramedics for paramedics'. My wish was to one day have...
That is a fascinating concept, Marc. I think it has huge potential. Will the information be backed up? It would be a shame to have hours of work deleted by a...
Hi Tom, There is a description of the legal rules regarding this on the site. Basically, they become free domain, so anyone can use them for anything. You...
The reason we "knew" we were making the right decision was we had just finished an acid/base balance presentation from our medical director 2 days earlier. She...
Ok, I don't want to beat a dead horse but here is a strip I got a couple of days ago. 80 yr old female with a chief complaint of weakness and palpitations but ...
I like lead III, aVL and aVF.... they give it away! ;-) What did you do for her? Did she know she had this? Is this her first presentation of this problem? Is...
Is it normal for your cardiac monitor to run another 12 lead at 50 mm/s or did you ask it to do that? Not that I'm complaining. It's a cool trick. Tom B....
I also couldn't help but notice (at second glance) that the QRS and QT intervals are marked on the second EKG. That's kind of a cool feature. What kind of ...
Well folks... I got to test out my brand new shiny Paramedic patch the other day, and I thought I'd share. Responded to the home of an 82 year old male pt....
One of the other crews responded to attend to an elderly person having seizures. Long story short, pt. was in untypable second degree AV block (though it was...
That's kinda what my guy was doing... Looked a bit like a seizure... he was doing what looked like decorticate posturing, all drawn up and rolling to the...
Meris: One, good call with being aggressive and not lolly-gaggling about with Atropine--I, too didn't mess around and went straight to pacing my 3rd degree AV...
Meris: I initially thought of a hypoxemia behavior change for your gentleman, especially given the marked change in personality once you got perfusion...
Meris, I don't mean to sound critical, because it sounds like you are a new paramedic. Please take this in the spirit it is intended, which is to be...
Um.. okay... then my question is why was I getting a *good* radial pulse that correlated with the monitor, *and* an improved BP? -Meris :-) ... From:...
Also... that's why I titled my post as I did... I *am* new.. so any help, pointers and critiques are appreciated... -Meris :-) ... From: Station2Medic@... ...
It was hyponatremia. ;-) Nick (just kidding, how the heck would I know?) ____________________________ Nick Nudell, CCEMT-P, NREMT-P Walnut Creek, CA ...
LOL... That's one thing I *haven't* managed to find out... what his labs came out to be... Wish I knew... it'd give me a little better picture of what was...
... Well now that depends, doesn't it? From discussing this with Meris in person (along with several other medics who were present), it's pretty clear that...
Mike, I'm not picking on Meris. This is a difficult interpretation skill to master. And I appreciate your willingness to play devil's advocate. However, you've...
Let me preface by saying I have learned, and continue to learn from this group, and every case presented here, and I'm not feeling "picked on"... also... take...
I love this group. :) WRT Meris, I only stood up for her here because I've seen the strips in person, heard the call reviewed in person, and had a chance to...
Meris, The pulse oximeter is not correlating here, I believe. Where the pacer is set @ 60 bpm, the pulse oximeter appears to be showing an SaO2 of 99-100% and...
Wow you guys and gal are all worked up on this one... unfortunately, my profound reply crashed after a long time of working on it. So I will just provide some...
I didn't look at the strips, I've been working almost every day and haven't followed this case too closely (but I probably should being that I am new too)....
Not ignoring you Nick... I've been at work today and haven't had time to do the research... Thank you for pointing me in the right direction. I'm trying to...