12-Lead Electrocardiographya comprehensive course

Adam Thompson, EMT-P, A.S.

STEMI

Practice -

3

Practice

Antero-septal-lateral MI

Practice Scenarios

“Always consider the company it keeps”

- Dr. Thomas Garcia

Practice Scenario 1

• You respond to an 87 year-old female who states that she awoke with “a fast heart rate”.

• She states that she has had this condition for over 50 years, and denies any pain or dyspnea.

• She has had heart surgery in the past.

Practice Scenario 1

• No abnormal physical exam findings• BP: 156/74 • HR: 124 irregularly irregular• O2 Sat:96% on room air

Practice Scenario 1

Practice Scenario 2

• You respond to a 51 year-old female who reportedly became unconscious and slumped over in a chair.

• Family states that she has been unconscious for 5 minutes.

• She has a history of hypertension and takes Xanax and hydrochlorothiazide.

Practice Scenario 2

• She is flushed and diaphoretic • She is awake but disoriented

• BP: 180/120• HR: 110 Regular • Respirations: 16 • O2 Sat: 95%

Practice Scenario 2

Practice Scenario 3

• You respond to a 94 year-old female in a nursing home.

• She had a syncopal episode per the LPN, and is currently complaining of unlocalized pain.

Practice Scenario 3

• She is pale but dry• BP: 142/57 • HR: 88 • Respirations: 24 • O2 Sat: 88% on High-flow O2

Practice Scenario 3

Practice Scenario 3

END

• You should be an ECG Master by now!