Not so fast...
Can you interpret these ECGs?
By Tom Bouthillet
Editor's note: We're pleased to introduce a new competition this month connected to "EMS 12-Lead." Think you know what's going on in this latest scenario? Read the details and the 12 Lead ECG below and submit your diagnosis and how you would treat this patient – get it right and you could win an EMS1 T-shirt and bottle opener. Enter your thoughts in the comments section. And good luck!
EMS is called in the early morning to the residence of a 85-year-old male with a chief complaint of chest pain.
On arrival the patient is found sitting on the edge of his bed. He appears anxious and acutely ill.
His skin is pink, warm, and moist.
He states that he was awoken from sleep with severe chest pain.
Onset: 20 minutes prior to EMS arrival
Provoke: Nothing makes the pain better or worse
Quality: "Heaviness" and "constricting"
Radiate: The patient does not radiate
Time: No previous episodes
Past medical history: HTN, dyslipidemia, MI, CABG, pacemaker
Medications: Lisinopril, metropolol, niacin, calcium
SpO2: 96 on RA
The cardiac monitor is attached.
A 12-lead ECG is captured.
How would you treat this patient and why? Tell us in the comments below— get it right and you could win an EMS1 T-shirt and bottle opener.