Prehospital 31 yom, obese. No admission of PMHx. Prodromal c | Figure 1

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Prehospital 31 yom, obese. No admission of PMHx. Prodromal chest pain, asymptomatic on EMS arrival, refusing transport. Convince pt to be evaluated. Pt seen in ER one week prior for similar sxs. 12 lead 1 taken on scene. Repeat 12 lead 2 and 3 taken enroute on return of CP. ASA and NTG given, cardiac alert called. 12 lead repeated several more times. Pt taken to cath lab, 99% occluded LMCA. I assume some coronary spasm was present as well.

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83 yr old female complaining of 9/10 central chest pain radiating to right shoulder with nausea and vomiting. Pt stated the pain had started going down left arm prior to arrival on scene. Pt had an ashen appearance and look extremely ill. 1st picture is initial 12 lead, 2nd is 15 lead immediately following, and 3rd is rhythm strip sometime en route to ER. Pt went from ER to cath lab.

pt is a 72 y/o male. Patient awoke at 0200 hrs with chest pain which increased upon movement and progressed to 10/10. Patient presents standing up in his yard outside the residence. Patient is cool, pale, diaphoretic. Pt has no medical history of any kind and does not take any medications daily. Pt movement is stopped. Pt moved to stretcher and into ambulance. 3-lead ECG reveals sinus rhythm at 82 with hyper-acute T wave. 12-lead ECG is shown above. B/P 188/122, HR 82, RR 24, SPo2 93 BGL 129. Could not transmit 12-lead due to poor cell service. 324mg ASA administered, 0.4mg NTG (2) administered to no relief. OLMD contacted, 12-lead explained in great detail to ED physician; I requested cath lab activation. ED physician refused and advised me to transport non-emergency or emergency at my discretion. I transported emergency to the receiving facility approx. 30 mins away. Upon arrival, pt presents to ED physician without change in initial presentation. Comment with your diagnosis, tx, or any questions, and I’ll give you the end result, diagnosis, and treatment of this patient.

A 27-year-old male presents to the emergency department with atypical chest pain. He is hemodynamically stable, and a 12-lead ECG is recorded. What’s the most likely diagnosis?

responded to an elderly pt c/c difficult bowel movements x 3 days. denies cp, sob, nv. no cardiac hx. upon assesing HR 40. 12 lead showed a much bigger issue.

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?