Masters Case #01: 50 Year Old Male – Severe Chest Pain

Most of our cases here at EMS 12-Lead are designed to strike a balance between challenging experienced prehospital providers while also highlighting a couple of specific teaching points for those seeking to learn. It’s a difficult line to walk. We want to showcase EKG’s with specific findings that are apparent enough to make good teaching tools, but we also want them to be subtle enough to make our practiced readers work. At this point I’m sure there are a few folks out there who have been following us (and related blogs) for long enough to be familiar with a lot of the major tropes we often discuss, so to keep things challenging I’m starting up a new case series: the Masters Cases. These ECG cases are designed to challenge even our most advanced readers, with no limit to how subtle or multi-faceted the findings can be. While no-one here at EMS 12-Lead claims electrocardiographic mastery (holo-chat us in 30 years, maybe…), this series will feature some of the toughest diagnosable EKG’s we’ve come across after collectively reading tens-of-thousands of tracings. To kick things off, here’s our first “Masters Case” courtesy of Dr. Bojana Uzelac from Serbia… A 50 year old male presents with a chief complaint of sudden-onset severe chest pain x 45 minutes. The pain began at rest and has been constant, if not worsening. He is pale, diaphoretic, and fairly lethargic; although he still answers questions appropriately. ...
Source: EMS 12-Lead - Category: Cardiology Authors: Tags: ems-health-safety ems-topics patient-management Training training-development Bojana Uzelac ems12lead.com Vince DiGiulio Source Type: research