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 IIExamine the following ECG tracings and select the correct choice. (only one is correct)
Lead IIThe medics determine that the patient is unstable. They prepare to cardiovert this man with 100 joules. Do you see anything wrong?
Lead IIWhat could the medic do to correct the problem with the equipment?
Lead IIThe medic and patient are fortunate, the rhythm converts to a sinus rhythm. What medication should be given next?
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Updated: May 7, 1998