Tuesday, June 17, 2008

The Squeaky Wheel

I guess this is what I get for complaining about my chest pain patients. It was my first time with such a standout case, and even though I would have liked to do a few things differently, everything seemed to go well. The cath lab told me he had a total occlusion of the RCA which was stented within record few minutes of us rolling through the ED doors. The patient, smiling, signed my paperwork from his ICU bed.



5 comments:

brendan said...

Assuming I get one that survives, I'm not going NEAR him again! Not jinxing myself over paperwork. Screw that! :-p

Connie said...

Amazing 12 lead, Fiznat! Great that you did a right-sided 12 lead as well when faced with an acute inferior MI. How was his pressure? Classic RVI signs? (hypotension, clear lung sounds & JVD?)

How did you treat? ASA, oxygen, IV with fluid bolus, and caution with morphine & nitrates?

We're starting thrombolytics in the field here July 1st, looks like if I have a pt. like you're I would have lysed him!

Mark said...

Hi Fiznat, just started reading your blog and I am hooked! Reading your Blog I am assuming you are as `into` ecg`s as I am. I have an amazing ecg trace taken from a patient I was caring for on a emergency call for a chest pain. I would love to share it with you as it has become quite a famous tracing over in my area (UK). Is there a way I could email it to you?

fiznat said...

Sure Mark, I'd love to see it! My email address is fiznat@gmail.com

Mark. said...

Sorry Fiznat, just seen your email address on the blog main page. I will email you a copy of the trace so you can have a look at it.