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Dave The Medic.

Welcome to the Bumps and Squiggles where we'll break down complex ECG's

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Tag: PE

ECG Blog 003 – Altered Mental Status

Posted on September 11, 2021September 14, 2021 by DavetheMedic

68 yo female – AMS The patients family visiting from Louisiana during Hurricane Ida calls 911 due to the patient collapsing after quickly running downstairs when her sister was attempting

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LVH, OMI, Pathologic Q Waves, PE, RV Infarct Leave a comment

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davethemedic@ecg-interpretationthebumpsandsquiggles.com

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Apr
01

ECG Blog 007 – Posterior OMI

 66 yo M calls 911 for acute onset chest pain while at rest.  Pain is described as sharp, 9/10 and non-radiating. There is also associated nausea and slight hypotension. Medics

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Jan
30

ECG Blog 006 – Acute Occlusion vs LV Aneurysm

 – A 73 yo M calls 911 for chest pain. Described as a burning sensation 1 hour prior, 10/10 non radiating. PMH- HTN and previous MI more than 10 years

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Jan
02

ECG Blog 005 – 75 yo M with chest discomfort – is it VT?

A 75 yo M presents to the ED for chest discomfort.  Fig 1 Our pt is hemodynamically stable therefore we have at least a few moments to inspect the tracing

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Oct
10

ECG Blog 004 – Is it Tamponade?

  We responded to agonal breathing for a 74 yo male.  We found him in bed with actual agonal breathing – about 4 ineffective breaths per minute and NO palpable

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Sep
11

ECG Blog 003 – Altered Mental Status

68 yo female – AMS The patients family visiting from Louisiana during Hurricane Ida calls 911 due to the patient collapsing after quickly running downstairs when her sister was attempting

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Sep
07

ECG Blog 002 – 50 something female complains of palpitations

50 something yo F calls 911 for new onset palpitations She has a history of DM II, HTN and depression and is compliant with all medications. She called 911 when

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Sep
06

ECG Blog 001 – 53 yo Male calls for Chest Pain

My thanks to Sophie Markwick from England for her permission to use these 12 leads for educational purposes.     This patient called emergency services for chest pain and vomiting.

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About the author

I am David White, a Paramedic in Georgia. I have been married to my beautiful wife Sharee for 21 years and we have 3 children and 2 granddaughters..so far.
I developed a strong fascination of ECGs many years ago.
After sitting through the same old classes of just “STEMI” criteria and contiguous leads, I got the idea in my head that there had to be a way to “see” ischemia before an obvious occlusion were present. This was before the internet was in such widespread use and most education I could find was in expensive books. I came across Dr. Thomas Garcia and his book – 12 Lead ECG, The Art of Interpretation. This changed everything for me.
Soon after, I found Dr. Ken Grauer, Dr. Steven Smith and Dr. Amal Mattu. These true experts in interpretation is what changed my entire medical education and helped me to focus on the details and pattern recognition rather than blindly stumbling through a 12 lead.
My goal in this blog is to present complex ECGs and break them down into more bite sized chunks to more easily understand what is happening.

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