Rate Related VS. Primary ST-T Changes:
A 56 year old black male presents to the Emergency Department via EMS, complaining of Chest Pressure, 10/10 pain scale. Pain started suddenly following sudden onset of palpitations, while mowing his lawn. All approximately 5 minutes prior calling EMS. Keep in mind, it was a hot and sunny day with temperature in the 90′s. He advised of prior episodes of chest pressure but never as severe as today’s episode. The pressure is generalized throughout his chest, and nothing seems to make it better.
PRIMARY ASSESSMENT:
Patent airway
Adequate ventilation with regular and equal chest expansion
Strong, irregular radial pulses with skin pink, warm and diaphoretic
INITIAL VITAL SIGNS:
Heart Rate: 206 beats/min
Respiratory Rate: 22 breaths/min
Non-invasive Arterial Blood Pressure: 141/102
SpO2: 98% on 3 lpm
Blood Glucose: 102 mg/dL
MEDICAL HISTORY:
Hypertension (compliant)
Non-smoker, occasional alcohol consumption
NO KNOWN ALLERGIES
EMS obtains the following 12 Lead ECG and transmitted to the ED:
Upon arrival to the ED, the following 12 Lead ECG was obtained:
What is your detailed 12 Lead ECG interpretation?
What is your course of treatment?
Do you think this patient requires Cath Lab activation?
Source: EMS 12-Lead - Category: Cardiology Authors: Ivan Rios Tags: 12 lead ecg Arrhythmias patient-management Source Type: research
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