Public Safety Training Center
Monroe Community College Rochester, New York
MCC Paramedic Program Case of the Month 08/99

Chief Complaint:
The patient is an 23yo male found in the care of BLS. He is complaining of palpatations.
His VS are: P-68 and irreg., BP- 120/82, Resp-20 and normal Skin color- pink, Pulse Saturation 98% on room air.
The past history is devoid of any significant findings. He has a head ache from a party last night. He says he had > 6 alcoholic beverages at the party.
Physical Exam:
HEENT: EYES: = and reactive to light, Ears: unremarkable Nose: unremarkable Throat: no JVD
Chest: Clear to auscultation bilaterally
ABD: Soft, nontender
EXTREM: = pulses, mae well, no edema
Based on the available data, Choose the correct items: (there are 2 correct answers)

This patient is stable and can safely be transported by the BLS crew alone

This patient's ekg shows significant ST elevation in the V leads and is having an AMI

This is Prinzmetal's arrhythmia

This is likely to be holiday heart syndrome

This is Atrial Fibrillation

This is Sinus Rhythm with baseline artifact
Learning Objective
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URL: /depts/pstc/backup/paracm14.htm
Updated: August 5, 1999
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