You respond to a community college for a 22 y/o male who was having chest palpitations. Bystanders on scene state that the patient “looked like he was going to pass out”. As you arrive, you find a seemingly healthy male, sitting upright in no distress. He states that this happens all the time, and he doesn’t want to go to the hospital. He feels fine now.
S – Chest palpitations and dizziness (both subsided prior to arrival)
A – NKDA
M – No meds
P – No known medical history
L – Red Bull and a muffin before class
E – Walking to classroomVitals:
HR: 75 & regular
BP: 118/74
RR: 22 & regular
Skin: Pink, warm, & dry now but bystanders state that he was pale and clammy when they called 911.You obtain the attached ECG on the patient. What is your interpretation? Should you encourage him to go to the hospital? Does this explain his symptoms?
A – NKDA
M – No meds
P – No known medical history
L – Red Bull and a muffin before class
E – Walking to classroomVitals:
HR: 75 & regular
BP: 118/74
RR: 22 & regular
Skin: Pink, warm, & dry now but bystanders state that he was pale and clammy when they called 911.You obtain the attached ECG on the patient. What is your interpretation? Should you encourage him to go to the hospital? Does this explain his symptoms?
ECG Case 3 – Click to Enlarge
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