Cool strip (large and in charge)

jedirye

Forum Lieutenant
Messages
114
Reaction score
0
Points
0
Will post the workup late...

-rye

Scan-2.jpg


Scan1.jpg


Scan2-2.jpg


Scan3-2.jpg


Scan4-2.jpg
 
1. SR with Type I/Weckenbach

2. Transmural Infarct with reciprical changes

3. Too much artifact, but appears to be SR with some ST elevation to ischemia.
 
Yes, wenckebach...
 
If I was the AV node, I'd be p.o.'ed at being ignored like that.

Marvelous presentation! Great learning tool!
 
Yeah so the call was dispatched as chest pain (64Y/W/M approximately 80kgs) A/OX4 GCS=15. Pt had been experiencing this pain this since last night, thought it was indigestion (later admitted to SOB also). Pt had a near syncopal episode when we arrived (he was walking to the bed), we had him plop on our stretcher while he was up. Asked pertinent questions, NKA, gave 324mg ASA on scene, also x1 nitro (it's funny typing that with all the discussion about giving nitro after 12-lead and IV). 12- lead performed, shown above. Medic called cardiac alert on scene. O2 given. 2x18g initiated. BG check of 333mg/dL, 250cc fluid bolus given enroute. Pt afebrile. Nitro given x2 more. 4mg morphine. Pain scale as follows: 7/10, 4/10, 3/10, 0/10 throughout ride. And that is that...

-rye
 
Back
Top