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Wide Complex Tachycardia

EMS 12-Lead

David Didlake EMT-P, RN, ACNP @DidlakeDW An adult male self-presented to the ED with palpitations and the following ECG. 2. Baseline fibrotic substrate from dilated cardiomyopathy leading to VT. Corresponding echocardiogram demonstrated LV systolic dysfunction with an EF 30%.

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InterAtrial Block

EMS 12-Lead

David Didlake, EMT-P, RN, ACNP @DidlakeDW An early 80’s Female was transported to the ED with new-onset facial droop, slurred speech, and focal deficit. In the pre-hospital setting the varying modalities needed to rule-in/rule-out these causative factors are not available (eg, Chest X-ray, Echocardiogram, etc). We do have the ECG.

AFIB 59