@dialedmedics: 🇿🇦🫀🤔 Your 911 ambulance is called to a coffee shop for a 77yo F complaining of arm pain. You AOS to find the pt sitting upright, alert and in no apparent distress, with a patent airway, adequate breathing, pink, warm, dry skin, and a strong radial pulse. She describes a sudden onset of unprovoked left upper arm pain that radiates to her shoulder, rated 5/10. She doesn't think anything is wrong, but family wants her "checked out". Physical exam is unremarkable, although the pt is hesitant to use her left arm and states that she does feel a bit weak. Vital signs are all within normal limits. She reports history of hypertension and arthritis, which she takes amlodipine and ibuprofen for, and no allergies. Transport to a local ED is 15min, and a STEMI center is 30min. What is your interpretation of this 12 lead EKG and how will you manage this patient? 🎉 Bonus Questions: 1️⃣ - What coronary artery is implicated with these EKG findings? 2️⃣ - What is the name of the pattern found on this ECG? All EKG recordings are from the EKG rhythm generator on the DialedMedics website (LII rhythms only for now, 12Ls are in beta and coming soon), be sure to check it out for more software generated #ECG practice! (Link in bio.) #EMS #ACLS #EMT #Paramedic #Nurse #Doctor
DialedMedics
Region: US
Thursday 10 July 2025 11:02:28 GMT
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Kyle Minyard, NRP :
High lateral ST elevation with reciprocal depression. Suggestive of LcX with posterior involvement. PCI facility and treat stemi per AHA guidelines.
2025-07-13 14:57:31
4
Eric :
The minute I saw the EKG printout I said "Uh oh!" To the cath lab on the double!
2025-07-11 05:21:53
5
me :
it is lateral MI ; lead ll is the only lead on anterior yet we need 2 or more contiguous leads
2025-08-01 11:33:36
1
Thomas Pagan :
Can’t interpret per SOP but I am “suspicious” of STEMI. ASA NTG(if BP & nitrates allow) and diesel. Q5 VS & pads if presentation or VS worsen. Getting medic on board, online medical control to see if doc wants to bypass and go to cath capable hospital based on EKG findings or continue to local hospital for stabilization and transfer
2025-07-11 03:02:58
1
ElizaLovesDance7 :
Is this an AI generated strip or an actual strip from patient? I see the anterior and lateral ischemic changes as well as some septal lead ste. I would expect to see some form of AVB but the pri is wnl. Maybe hasn’t reached the depth of the septal region yet? LAD is compromised.
2025-07-19 17:21:14
1
Taylor T :
it’s either lateral or anterior STEMI!! can never remember which one but stemi regardless
2025-07-10 11:30:15
1
Blindjustice210 :
We appear to have a blockage , cath lab we inbound, treat per protocol, skip ER if ootiin straight go lab, you dont have alot of time imo
2025-07-16 14:02:26
1
Krissy Jo :
In some spots the wiggle didn’t come back up to the other wiggles, in other spots it didn’t come down to the other wiggles. Prolly not good ig
2025-07-11 02:43:49
5
AngieS :
just an EMT here but I would say go to the Cath lab.
2025-07-10 15:42:20
3
king1303 :
can see depression in AVR, which could indicate a Lateral STEMI with a reciprocal change in anterior. provided she's not allergic, give GTN or aspirin. make a call to PCCI and go on blue call.
2025-07-10 17:04:25
1
Tomislav :
lateral stemi
2025-07-10 17:30:51
2
Dung :
😳😳😳
2025-07-23 04:21:18
1
ParamedicJeff :
Definitely a STEMI, IV, O2 Monitor. Looks lateral to me so nitro for pain, 324mg Asa, if no relief then consider Fentanyl as a pain control. Definitive care is the Cathlab for angioplasty and stent placement.
2025-07-12 23:22:47
1
RoboCop_88 :
anterior lateral STEMI with reciprocal depressions, IV, F.O.N.A, ETCO2, Serial 12 leads pri 1 to PCI hospital
2025-07-10 15:21:07
1
Andrew OConnell :
High Lateral STE. STEMI. Reciprocal changes in Anterior Leads
2025-07-10 11:21:30
2
Paula Black Hess :
Big ole STEMI to the catch lab!
2025-07-11 23:20:38
1
GaryPalmer3596 :
STEMI
2025-07-11 09:00:31
1
RebeccaNurse2.0❌ :
STEMI
2025-07-11 04:36:15
1
Jennifer Marie :
First degree heart block. NSTEMI
2025-07-10 19:27:45
1
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