Public Safety Training Facility

Monroe Community College
Rochester, New York

MCC Paramedic Program Case of the Month 05/00

EKG Tracing

Chief Complaint:

The patient is an 39yo male found in a community college office where he is working. He is a computer geek. 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 did not have breakfast or lunch yet and he feels a little tremulous.

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 in multifocal atrial tachycardia

This patient's strip shows significant ST elevation

This is sinus arrhythmia

The patient has Ashman's phenomenon

This is Atrial Fibrillation

This strip shows one ventricular ectopic beat (PVC)

Learning Objective

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Updated: May 12, 2000