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Snapshot Discussion: 64 Year Old Male–Chest Pain
This is the discussion for "Snapshot: 64 Year Old Male–Chest Pain". First, let's talk about the patient presentation.What is concerning is the substernal chest pain, radiating to the shoulder and neck...
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59 Year Old Male: “Lifting Boxes”
This is part one of today's case study. As usual some information has been changed to protect patient confidentiality. EMS is called to the residence of a 59 year old male, who's chief complaint is...
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59 Year Old Male–”Lifting Boxes”: Part II, with a twist!
This is part II to 59 year old male–"Lifting Boxes". You may wish to review the case. Let's review the ECG: There is sinus rhythm at about 90 bpm. Some of you saw a slight bit of ST elevation in the...
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24 year old male: “Anxiety Attack”
This great case comes from a long time reader who wishes to remain anonymous. As always, details have been changed to protect patient and provider privacy. You're dispatched on an ALS quick response...
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53 Year Old Male: Severe Leg Pain
This great case was sent in by faithful reader Bryan Brzycki, a Medic from Beaufort County. As usual, some minor information may be changed to protect patient confidentiality. It's a cloudy fall...
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53 Year Old Male: Severe Leg Pain–Conclusion
This is the conclusion to 53 year old male: Severe leg pain. You may wish to review the case. Before we begin, my apologies for the delay in posting this conclusion. I live in coastal NY, and we got...
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Hyper-K and Shades of Grey
Good morning all… It's a beautiful fall Sunday morning, and you and your partner are enjoying an nice cup of coffee. But of course, the tones go off, and you are called to the residence of a 52 year...
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HyperK and Shades of Grey: Myths and Facts about Hyperkalemia Part I
Happy New Year everybody! We start 2013 with a continuation of our discussion about the field treatment of hyperkalemia. It might be helpful to review the first part of the discussion," HyperK and...
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HyperK and Shades of Grey: Myths and Facts about Hyperkalemia Part II
Today we continue our discussion about the myths and facts of hyperkalemia with Dr. Brooks Walsh, author of the Mill Hill Ave Command blog. We also feature contributions from Dr. Stephen Smith, of Dr....
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“What’s wrong with Mr. Wilson?”
It is a sunny January afternoon at the ER when you are called to see a 57 year old male complaining of feeling "really sick". You find your patient lying in the bed in room 3. He looks pale and short...
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The Trouble with Sinus Tachycardia
Sometimes recognizing sinus tachycardia can give us fits. What? Sinus tachycardia? One of the most basic rhythms? The discussion that follows will highlight some of the difficulties sinus tach can...
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RBBB Abnormalities Missed
The original presentation of this case appeared as "What's Wrong with Mr. Wilson?"… You can read the original post here. Much has been written lately about RBBB abnormalities that were missed. Dr....
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49 Year Old Male: Chest Pain
This excellent case comes to us from our friends in the UK. The author wishes to remain anonymous, but we thank him for his contribution. It is about 8am on a gorgeous Wednesday morning, when your...
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“Treat the patient not the monitor?”- Redux
"For heaven's sake man, treat the patient not the monitor!" Ahh, the angry cries appear every time we post a difficult case with a challenging ECG or treatment decision.. The attitude seems...
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37 Year Old Male- CC: Chest Pain
This excellent case comes to us from Paramedic Jack Buckle. Thanks Jack! You and your partner are in the middle of a busy shift, when you are dispatched to 37 year old male complaining of chest pain....
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The Weekend Roundup: ECG Highlights from Around the Web…
*image credit In case you missed it this week: We had a great case discussion...
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63 Year Old Female, CC: Neck and Arm Pain
Good morning. It's 7:45 am on a sunny winter Monday, and you are just finishing up your holiday shopping list– it is getting down to the wire after all! The tones go off, and you are dispatched to...
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68 Year Old Male: Chest Tightness – Part 1
A 68-year-old male presents with a chief complaint of chest tightness that started at rest approximately three hours prior and has been constant ever since. He desribes it as a vice-like sensation...
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68 Year Old Male: Chest Tightness – Part 2
This is part 2 of a multi-part series examining a 68-year-old male patient who presented with a chief complaint of "chest tightness" and an abnormal ECG. You may want to review the initial description...
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63 Year Old Female, CC: Neck and Arm Pain–Discussion
This is the discussion for our recent case 63 Year Old Female, CC: Neck and Arm Pain. Let's revisit the 12 Lead ECG: There "appears" to be a Sinus Brady rhythm at a rate of about 52 bpm, with a first...
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