is there any doubt on this one? Massive inferior MI. I am a | Figure 1

mfd229

Paramedic

is there any doubt on this one? Massive inferior MI. I am a paramedic student and learned from one of the doctors in the STAB room a lot about heart blocks and bradycardia in posterior MI's. I would recommend anyone that doesn't know about it to look it up. Some great information.

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50 yo male with significantly high cardiac risks factors + pretty much a textbook presentation for a MI. First ekg was recorded with peripheral electrodes attached to the chest, second one was redone with electrodes on the limbs. With the second one we could pick up just enough elevation (1mm) to activate ems transfer to the cath lab(I know its kind of hard to see on the pictures). Nice to know fact for prehospital providers: chest lead electrode placement can decrease sensibility for inferior or high lateral MI.

64yo M with hx of previous MI arrived to ED after EMS recognized the ST elevation and activated a code STEMI. Patient was in and out of the trauma bay and on to the cath lab in 3 minutes. Was very impressed with the EMS team! (Not the best EKG, but the best one I got my hands on)

Would like some opinions on this one...70M hx afib, prior MI, called in by ambulance crew as "possible STEMI", this is first strip on arrival at hospital. Anteroseptal MI?

71 yo F with C/C of chest pain x1 hr. Pt has past Mx of PEA cardiac arrest, inferior MI, CAD, HTN. Pt denies nausea, vomiting, shortness of breath. Vitals are 128/67, HR 82, RR 18, SpaO2 98%. I see a lateral anterior MI w/ possible STEMI.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?