Public Safety Training Facility
Monroe Community College
Rochester, New York
MCC Paramedic Program - Electrotherapy
You are called to attend a 70 yo male who is in an after hours medical center. He presented there 2 hours ago with
complaints of flu like symptoms including weakness, dizziness, and at times near syncopal. He is a healthy man save for a myocardial infarction 20 years ago. He only takes ASA qd. Just before discharge it was
discovered that he had a heart rate of 190 and an EKG was immediately performed. Based on the EKG, an ALS ambulance was
summoned. Below is the actual case.
Lead II
Examine the following ECG tracings and select the correct choice. (only one is correct)
Rapid atrial fibrillation with aberrancy
Sinus tachycardia with left bundle branch block
Ventricular Tachycardia
SVT with aberrancy
Lead II
The medics determine that the patient is unstable. They prepare to cardiovert this man with 100 joules. Do you see anything wrong?
No, proceed immediately with cardioversion
Yes, the patient needs a trial of Lidocaine first
Yes, the syncronizer circuit is not sensing properly
Yes, a dose of adenocard should be given first
Lead II
What could the medic do to correct the problem with the equipment?
Change the lead
Change the energy
Change to diagnostic
Change the systole volume
Lead II
The medic and patient are fortunate, the rhythm converts to a sinus rhythm. What medication should be given next?
Valium
Lidocaine Hydrocloride
Bretylol
Calcium Cloride
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Updated: May 7, 1998
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