Public Safety Training Facility

Monroe Community College
Rochester, New York

MCC Paramedic Program Case of the Month 08/99

EKG Tracing

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)

(press the blue button)

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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Updated: August 5, 1999