the 100% directionless thread

I'm assuming there was an occlusion then after a trip to the Cath lab? Certainly an interesting case! Are these how his seizures typically present as well?
Unknown. Due to the patient being 17 years old the Doc had to send the patient to a different hospital about 10-15 minutes away that specializes in peds.

The doc felt that more than likely the patient had myocarditis because there were no reciprocal changes evident in the EKG but wasn't 100% sure. Because he wasn't sure he has the medic crew do a code 3 transport and only gave the patient 324 of aspirin.
 
Unknown. Due to the patient being 17 years old the Doc had to send the patient to a different hospital about 10-15 minutes away that specializes in peds.

The doc felt that more than likely the patient had myocarditis because there were no reciprocal changes evident in the EKG but wasn't 100% sure. Because he wasn't sure he has the medic crew do a code 3 transport and only gave the patient 324 of aspirin.
I'd say there's certainly some reciprocal depression in aVL, which matters more than lead I anyway for reciprocal changes in an inferior wall STEMI. Not saying some kind of peri/myocarditis isn't possible, but my spidey sense would be tingling.
 
I'd say there's certainly some reciprocal depression in aVL, which matters more than lead I anyway for reciprocal changes in an inferior wall STEMI. Not saying some kind of peri/myocarditis isn't possible, but my spidey sense would be tingling.

I thought I saw some but Doc said no. For pericarditis, at least all the 12 leads I have seen have more of a global ST elevation
 
I thought I saw some but Doc said no. For pericarditis, at least all the 12 leads I have seen have more of a global ST elevation
I definitely see depression in avL...
 
Narrowly dodged getting vomit all over me when somebody power chundered last night

Phew!

Well, after my 14 hour shift (and 18 hours) being awake ... I think I might go to sleep! :)
 
Today for my birthday I have so far received a four hour long meeting regarding billing development for community health programs. And been out of my station for six hours without running a call. Yup, I don't want to be a grownup.
 
what kind of monitor is that? i wouldve never done a 12 lead on a sz patient but good catch!
Im honestly not sure what brand of EKG machine it was. Im doing my clinical time at the hospital right now (last shift is tomorrow) so it was one of there machines.

It seems as if every patient gets a 12-lead at this hospital.
 
Im honestly not sure what brand of EKG machine it was. Im doing my clinical time at the hospital right now (last shift is tomorrow) so it was one of there machines.

It seems as if every patient gets a 12-lead at this hospital.
Aren't you at ARMC?
 
Aren't you at ARMC?
Yep. I don't know if it's a hospital thing or a nurse/attending/resident thing but every single patient in my pod for the last 2 days has been getting 12-leads.
 
Im honestly not sure what brand of EKG machine it was. Im doing my clinical time at the hospital right now (last shift is tomorrow) so it was one of there machines.

It seems as if every patient gets a 12-lead at this hospital.

oh haha then it doesnt matter. i thought it was prehospital. really im just bummed my company is using ooooold zolls (m series i believe) i guess it could be worse
 
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Best part about the MRx?

Live 12-lead. :D
 
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oh haha then it doesnt matter. i thought it was prehospital. really im just bummed my company is using ooooold zolls (m series i believe) i guess it could be worse
We are on the LP12s. I wish we would upgrade to the 15s already.
 
We are on the LP12s. I wish we would upgrade to the 15s already.

Is it odd to say I've never even seen a LP besides an LP5 in our history of EMS class in Medic school.
 
Is it odd to say I've never even seen a LP besides an LP5 in our history of EMS class in Medic school.
I don't think I've seen a 5 (I'll have to check which ones the EMT program has). I've seen an 8 and actually had to use a LP10 out in New York (talk about freaky having to hold the paddles on a patients chest to get a look, we didn't have any cable leads).
 
I don't think I've seen a 5 (I'll have to check which ones the EMT program has). I've seen an 8 and actually had to use a LP10 out in New York (talk about freaky having to hold the paddles on a patients chest to get a look, we didn't have any cable leads).
I've seen (and used) an LP5, and I've seen and used an LP10. The LP5 was a backup to our LP10 (and later a Zoll M-Series), though for monitoring only we used a ProPaq Encore. That was back in the day when I was BLS and worked on an CCT rig. When I became a Paramedic, I used both an LP10 and LP12. The M-series and the ProPaq were the only monitors that we had back equipped with an autocuff. The vast majority of BP's that I got on the street were manual. Yes, I got good at it...
 
lol im going to pull the age card. lp5?? when was that last used??
im spoiled! we had lp15s on my internship and thats all i like. id even settle for an lp12! why not the zoll x series...any of those would be fine. what do you guys use robb? . but this mess...ugh. ill get over it i guess.
thats my whining for the night.
 
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