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Written by Dr Smith
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Monday, 10 November 2008 16:02 |
65 yo male with recent rule out presents with unrelated complaint but also states he is SOB. |
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Written by Dr Smith
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Monday, 10 November 2008 16:00 |
 70 yo with h/o MI, recent CABG, has acute onset of chest pain. |
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Written by Tom B
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Monday, 10 November 2008 10:09 |
In my recent post the problem of ST segment elevation we discussed the difficulty of distinguishing between acute STEMI and the various mimics of acute myocardial infarction.
Here are some articles from the American Association of Critical Care Nurses that are worth reading. read more |
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Written by Tom B
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Monday, 10 November 2008 08:07 |
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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Written by Dr Smith
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Friday, 07 November 2008 13:31 |
 This patient presented with alcohol intoxication and possible overdose. No ischemic symptoms. |
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Review & Interpretation
