| 63 yom CC: chest pain |
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| EKG Interpretation | |||
| Written by Tom B | |||
| Monday, 10 November 2008 08:07 | |||
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Here's an interesting case submitted by my friend Lt./NREMT-P Chris B. This is all the information I have, so I won't be able to answer any questions about the history, clinical presentation, or physical exam. You are dispatched to a 63 year old male complaining of chest pain. On arrival you find the patient lying supine in bed, alert and oriented to person, place, time and event. His general appearance is poor. He is pale, but not diaphoretic. Skin temp is normal. His chest pain is substernal 6/10 and non-radiating. Vital signs: Resp: 12 non-labored Pulse: 68 BP: 97/55 SpO2: 81 RA Breath sounds: clear Past medical history: CABGx4 approx 6 years ago End stage renal disease Diabetes The cardiac monitor is attached and shows this heart rhythm:  A 12 lead ECG is performed: How sick is this patient?What do you think is going on? What is your treatment plan?
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