Chest pain relieved by Maalox and viscous lidocaine
An otherwise health male in his early 40’s presented with “burning” in his epigastrium that radiated to his throat and was…
Chest Pain and Right Bundle Branch Block
A male in late middle age with a history of RCA stent 8 years prior complained of chest pain. EMS recorded the following ECG: What do…
Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on?
A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…
Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on?
A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…
Massive ST Elevation After V Fib Arrest, Discordant Bedside Echo Results
A woman in her 40’s was brought the ED (not by ambulance) for what is believed to be a seizure. She was reportedly very anxious…
30 Year Old with Cardiac Arrest, PEA, then Cardiac Ultrasound
A 30 year old collapsed after complaining of chest pain intermittently. He was unconscious. First responders thought they palpated…
ST Elevation: is it due to old MI (LV aneurysm) or to acute STEMI?
A middle aged male was resuscitated from cardiac arrest (ventricular fibrillation). Here is his initial ECG. He was hypotensive.…
Cardiac Arrest: To the cath lab with ongoing chest compressions
A male in his 20’s with no past medical history was found in cardiac arrest. He had been complaining of chest pain. Medics…
Cardiac arrest: even after the angiogram, the diagnosis is not always clear
A woman in her 40’s who was healthy, except for hypertension, was at work when she suddenly complained of neck and shoulder pain and…
68 minutes with chest compressions, full recovery. Plus recommendations from a 5-member panel on cardiac arrest.
The following is told with full permission of the patient, who is a paramedic who also started, owns and runs with his wife a company for…