Public Safety Training Facility

Monroe Community College
Rochester, New York

MCC Paramedic Program Case of the Month 03/00

EKG Tracing

Chief Complaint:

The patient is an 48yo female found in a bank office where she is working. She is just recovering from a syncopal episode. She is cx and alert with a radial pulse of 62. She Suddenly becomes unconscious and you find a weak radial pulse of 150. You Quick-look her EKG and see the above

VS are: P-150 and irreg., BP- 0/0, Resp-16 and snoring, Skin color- pale.

The past history includes type II diabetes and gastrointestinal dysfunction as a result, a recent vaginal fungal infection.

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 3 correct answers)

(press the blue button)

This patient is in Torsades De Pointes

This patient's strip shows significant ST elevation

This is Ventricular Fibrillation

The patient has a bundle branch block

This is a rare type of polymorphic VT</A></P>

<P><IMG SRC= Defibrillation then magnesium sulfate are indicated

Learning Objective

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Updated: March 1, 2000