Ever had that patient that you just weren’t sure what pathway they fit in?
You have a 75 yo F who called 911 due to palpitations and increasing shortness of breath. She looks fairly comfortable with belies the rate of 180 seen on the monitor. She does endorse some chest discomfort. No previous drug use, no recent surgery/ Rhythm might be irregular but it’s too hard to tell at that rate. Should I cardiovert? Should I give them diltiazem? Could this tachycardia be reactive to something, and I should look for other potential issues?
Published by Austin-Travis County EMS System Office of the Chief Medical Officer
Office of the Chief Medical Officer for the City of Austin/Travis County Emergency Medical System (EMS) is responsible for comprehensive medical oversight of all clinical care provided in the EMS System.
Define, Support and Advance Our Clinical Practice of Medicine
The EMS System is comprised of 27 organizations with more than 2,000 individual providers. The System also interfaces with 17 hospitals within the EMS service area.
The Office continues to grow and develop as a system, relying on its mission and vision to guide progress. The values define the organization on how it collaborates with system partners to provide competent patient care.
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Office of the Chief Medical Officer of the City of Austin, Texas 