Mirror on the wall
Can you interpret these ECGs?
Editor's note: Check out this month's ECG case study and submit your treatment plan in the comments below. Get it right and you could win an EMS1 T-shirt and bottle opener. Good luck!
Here's a great case submitted by a faithful reader named Joshua Nackenson, NREMT-P from New York (@MedicJosh on Twitter). Some changes have been made to preserve patient confidentiality.
EMS is called to the residence of a 68-year-old female with chest pain.
On arrival the patient is found lying in a left lateral recumbent position in the hallway outside the bedroom.
Fire department first responders are on scene and have already applied oxygen via NRB @ 15 LPM.
The patient appears acutely ill.
Skin is warm but pale and diaphoretic.
Past medical history: Hypertension, MI with stents x2 years ago
Medications: Not available at the time of assessment
The patient confirms that she is having severe chest pain.
Onset: Sudden onset while watching TV
Provoke: Nothing makes the pain better or worse
Quality: Poorly localized pressure in the center of the chest
Radiate: The pain does not radiate
Time: 30 minutes duration with no previous episodes
Vital signs are assessed.
Pulse: 140 and irregular
SpO2: 100 on O2 via NRB @ 15 LPM
Breath sounds: clear bilaterally
No jugular venous distension or pitting edema is noted.
The cardiac monitor is attached.
A 12-lead ECG is captured..
What is your interpretation of this ECG? Describe your treatment plan in the comments below.
Join the discussion
The comments below are member-generated and do not necessarily reflect the opinions of EMS1.com or its staff. If you cannot see comments, try disabling privacy and ad blocking plugins in your browser. All comments must comply with our Member Commenting Policy.