911 for male 30s dyspnea canceled in route secondary to pt r | Figure 1

Middleofnowheremedic

•Follow

Paramedic

911 for male 30s dyspnea canceled in route secondary to pt refusing dispatched again 15-20 mins later now pt wants transport UOA LEO reports contact with the subject earlier because ghosts were in the residence and prior contacts in past as well as hx schizophrenia non compliant with meds pt presents altered reporting ghosts in residence and people messing with his home (unsubstantiated) pt fidgety and paranoid states "I don't feel good I feel like I'm gunna pass out" otherwise will not answer questions 1st VS: HR 115 BP 167/100 all others WNL contusion found right anterior FA pupils dilated @ 5-6 mm otherwise unremarkable pt sedated (RASS -4) ekg obtained just prior to meds taking effect (1st image) repeat ekg @ approx 15 mins (2nd image) later learned that FD also has prior contacts with pt and reports no hx schizophrenia but hx of meth induced psychosis and drug use. What's the ekg/rhythm? What's catching your eye between the 2? What are we calling this/dx? Game on

Trending now

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?