I was teaching a 12 lead class at fire station #1 today when a patient pulled up on the front pad and walked into the bay complaining of chest discomfort which...
III and avF have clear STE but not II. STE in III > II makes me suspect right ventricular involvement. Also, ST depression in V2 and V3 with R:S ratio in V2...
Hank: That's almost exactly what I was thinking, with some minor variations. I wasn't sure whether or not I could make the case for ST elevation in lead aVF....
Could this be Wellen's Syndrome? I would still continue with MONA and proceed with a cath team alert. Gustavo E. Flores Bauer, BS EMT-P :. EmergencyTeam.Net ...
This is a test. I'm not getting any messages. Now, if this message really gets through, then it means the list is really dead. If so, then guess the list's...
Gustavo: Could you possibly be getting Wellens' Syndrome mixed up with Prinzmetal's Angina? The former is associated with deep symmetrical T wave inversion in...
You're called to the office area of a 5 story oceanfront multifamily condo complex. You arrive at the same time as law enforcement. You are led to a small ...
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Sounds like she is Hyperglycemic in DKA and probably has had her glucose levels out of control for a few days and diuresed herself into hypokalemia, hence the...
I'll take a shot, and believe me, I am an amateur. Looks like STEMI with reciprocal depression in opposing leads along with a left bundle branch block....
I was thinking of DKA myself, David. But her BGL was 107. This is where I need more education on the relationship between blood sugar and potassium. I'm not...
I'll take a shot, and believe me, I am an amateur. Looks like STEMI with reciprocal depression in opposing leads along with a left bundle branch block....
Thanks Tom, I pulled out my "step by step" ecg assessment guidelines and printed out the EKG, and I was way off in the elevation, I was looking at by the seat...
Hyperglycemia really did not occur to me, even without looking at the blood sugar, I guess it has to do with not seeing it too often and the fact that it often...
I was trying to think of other conditions myself. But it turned out that the patient had been drinking. ETOH level came back 217. Tom B. In a message dated...
Hypomagnesia can also cause hypokalemia, as magnesium is required for the adequate processing of potassium. This patient could also have potassium a loss from...
"other condition" might be a nasty sunburn on top of being drunk. You mentioned beachfront property in your story, so sun tanning is prevalent. The alcohol...
She did have a nice tan, but she didn't look burned. Speaking of field treatment, I placed the patient on oxygen, obtained a 12 lead EKG, established IV ...
Interesting thought. I was particularly confused by the right axis deviation. The QRS is slightly prolonged but < 120 ms, so you could consider left posterior...
I have a question for the group. Last night I did a transfer from one hospital to another. The nature of the
call was an 80 year old male reported as a...
Bruce, The ST segment elevation of AMI is an abnormal repolarization secondary to the so-called "current of injury" found in extracellular space of ischemic ...
I forgot to mention that patients who develop ventricular aneurysm have persistent ST segment elevation, but my understanding was that this happened most ...
As an aside, ventricular aneurysm resection is a very cool surgery. Basically, after going on bypass and draining the heart, the aneurysm is excised and just...
I want to present a bit of a chronic problem rather than what we typically see in the field if the group will entertain it, if not please excuse this post. An...
I want to present a bit of a chronic problem rather than what we typically see in the field if the group will entertain it, if not please excuse this post. An...
Sorry, was going to copy EKGs today, but the reports have been picked up and
now unavailable to me. The time between EKGs was about 4 to 6 weeks. What I saw on...
Patrick, Your question is probably out of the realm of most people on the list. I'm borrowing heavily from a presentation I had previously. There are 4 main...
... Patrick, Your question is probably out of the realm of most people on the list. I'm borrowing heavily from a presentation I had previously. There are 4...
Thanks Phil, the stats put it into perspective for me, he is being anticoagulated beyond four weeks before his doc decides to cardiovert him, the other...
For those following the "Unconscious female - possible ETOH" thread, the admitting diagnosis was "cocaine abuse and acetaminophen overdose." The treating ER...