Part I - Jamie Davis and Tom Bouthillet discuss the 2010 AHA ECC Guidelines with Monica Kleinman, M.D., incoming Chair of the AHA's ECC Committee.
Part II - Jamie Davis and Tom Bouthillet discuss the 2010 AHA ECC Guidelines with Monica Kleinman, M.D., incoming Chair of the AHA's ECC Committee.
Part III - Jamie Davis and Tom Bouthillet discuss cardiac arrest and the chain-of-survival.
This blog is for beginners to experts, to share your knowledge in the art of ECG interpretation & recognition. Jason Winter
Tuesday, 30 November 2010
73 year old female CC: Chest pain
EMS is called to the residence of a 73 year old female with a chief complaint of chest pain.
On arrival the patient is found sitting on the couch. She appears acutely ill.
Skin is pale and diaphoretic.
Onset: 1 hour ago
Provoke: Nothing makes the pain feel better or worse
Quality: Heaviness or pressure
Radiate: Pain radiates to neck and jaw
Severity: 7/10 and persistent
Time: No previous episodes
Past medical history: HTN, dyslipidemia, breast CA
Medications: Unknown
The patient admits to mild dyspnea but breath sounds are clear.
Vital signs are assessed.
RR: 18
Pulse: 96
BP: 172/72
SpO2: 98 on RA
The cardiac monitor is attached.
A 12-lead ECG is captured.
Displeased with the data quality, paramedics capture another 12-lead ECG.
What do you think is wrong with this patient?
On arrival the patient is found sitting on the couch. She appears acutely ill.
Skin is pale and diaphoretic.
Onset: 1 hour ago
Provoke: Nothing makes the pain feel better or worse
Quality: Heaviness or pressure
Radiate: Pain radiates to neck and jaw
Severity: 7/10 and persistent
Time: No previous episodes
Past medical history: HTN, dyslipidemia, breast CA
Medications: Unknown
The patient admits to mild dyspnea but breath sounds are clear.
Vital signs are assessed.
RR: 18
Pulse: 96
BP: 172/72
SpO2: 98 on RA
The cardiac monitor is attached.
A 12-lead ECG is captured.
Displeased with the data quality, paramedics capture another 12-lead ECG.
What do you think is wrong with this patient?
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