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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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Masters Case #01: 50 Year Old Male – Severe Chest Pain
Most of our cases here at EMS 12-Lead are designed to strike a balance between challenging experienced prehospital providers while also highlighting a couple of specific teaching points for those...
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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 major...
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Conclusion to Masters Case #01
I apologize for the giant delay and I know it’s a pain when these cases are so spread out. This is the conclusion to Masters Case #01; be sure to check out the original post first if you haven’t yet...
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Understanding Adenosine (Adenocard)
So, recently, I was involved in a conversation, where the topic of Adenosine administration came up. It seems like there is a misunderstanding regarding its use and mechanism of action. Although this...
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Understanding Atropine
As requested, during our previous Adenosine discussion, we will briefly review, Parasympathetic stimulation and Atropine pharmacodynamics on the heart. ACETYLCHOLINE (ACh) is one of the...
View ArticlePulsus Paradoxus: Cardiovascular Function and Assessment
Cardiovascular Assessment: Pulsus Paradoxus Assessing cardiac function, blood pressure and hemodynamic status play an important role during our overall patient assessment and treatment. Although 12...
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53 YOF with AMS: STEMI or Secondary ST-T Changes?
This is the case of a 53 year old female who presented to the Emergency Department (ED) via EMS, with Altered Mental Status (AMS). EMS was called to a local dialysis center due to the patient being...
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Dont let your bradycardic patient D.I.E.
At the risk of plagiarizing myself, I’d like to revisit a topic that I discussed on my personal blog a couple of years ago. The story goes that I am not very good with mnemonics. For me they are almost...
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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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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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“Push Hard, Push Fast?”
“Push Hard, Push Fast” We all know the mantra. It’s catchy. Compressions not deep enough? Push hard. Not fast enough? Push fast. Great. Except… One thing many of us have learned as professional...
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Calcium and Hyperkalemia
“Calcium Chloride/Gluconate are used during Hyperkalemia induced ECG changes to reduce Serum Potassium.” The answer is: False! The majority of Potassium in our body is found intracellular. Only a...
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Nitro paste is NOT an emergency medicine drug – The Evidence
Many paramedics argue strongly for including nitroglycerin paste as an arrow in their pharmacologic quiver when treating acute congestive heart failure. As opposed to using arrows with...
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What are the Essential Elements of High Performance CPR?
Adult High Performance CPR (HP-CPR) Demo at the South Carolina Resuscitation Academy! Hilton Head Island Fire Rescue: Tim Santini, Jon Ceiply, Shane Marstiller, Sean Kavlick What is High Performance...
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71 year old male: Chest Discomfort
This very interesting case comes from Bryan F, a Paramedic from Long Island. A 71 year old male is cooking breakfast when he experiences sudden onset of 10/10 chest discomfort. He waits 20 minutes or...
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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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