2025 EMS Cases Part I

Baltimore City EMS Cases with Dr. Amal Mattu

HPI

A 55-year-old woman calls EMS with acute palpitations and chest discomfort. Vitals are normal aside from marked tachycardia. The following prehospital ECG is obtained:

Before watching this week’s workout, carefully review the ECG and consider the following:

    1. What is the rhythm and your first step in management?
    2. Would you order a troponin for patients with this rhythm?
    3. Are the ST segment abnormalities seen here associated with acute coronary occlusion?