Chronic Obstructive Pulmonary Disease (COPD) is the fourth most common cause of death in the United States. Emphysema and chronic bronchitis are both marked by difficulty breathing during increased activity, persistent cough, and plenty of phlegm. Well, there are a few causes, but the absolute number one cause of chronic obstructive pulmonary disease is smoking. Most COPD patients were smokers at some point in their lives and the toxins from tobacco smoke directly resulted in their developing lung disease. Emphysema is a specific condition in which the walls between the alveoli within the lung lose their ability to stretch and recoil. Find health and lifestyle advices & Get answers!Share real-life experiences with more than 250,000 community members! Pimple-like Bumps on Penis and Testicles Consequences Of Over-masturbation Implantation bleeding or period? Living With Angina How Do I Know If I Have Uterine Fibroids? Here is yet another awesome case courtesy of Christopher Watford who writes the My Variables Only Have 6 Letters blog.
It’s important to note that the most common ECG abnormality associated with PE is sinus tachycardia. Sinusal tachycardia, with an S1Q3 aspect(???), an increase of the RR, T wave negative from V1 to V4, SpO2=88% —> high suspicion of Pulmonary Embolism !
I read someplace, and I’m trying to remember where, that S1Q3T3 is very non-specific for a PE. TX: as far as the PE goes, not too much you can do pre-hospital aside from continued O2, continued monitoring, IV. Initial assessment was good, I would bump up the O2 to 5LPM (per my protocols 94%spo2 isnt an acceptable stopping point) to see where the SpO2 goes. I would additionally try to inquire about the onset of the dyspnea, if that was with the syncope. I would start an 18ga or larger IV lock and transport non-emergency to the patient’s usual hospital. Another hint towards PE that nobody’s mentioned yet (I think) is the somewhat slow R-wave progression in the precordials.
I to would be suspicious of a PE, but a little more on the patient’s history would be great. Treatment From The Info Listed: O2, Fluid, but cautiously not to fluid overload, Repeat 12-15 leads, BGL, Etco2, Repeat Vitals.
If he has Chronic Bronchitis, then the RAE plus the low voltage QRS may be a sign of Cor Pulmonale as well. It has been my experience that if something is wrong and we are stumped, there is something we didn’t assess?.
I disagree Chronic Bronchitis is an episodic disease and is not likely to cause a cor pulmonale or ecg changes suggestive of that.
Also of note is the beginnings of a prominent terminal R wave and ST elevation in lead aVR. No, doubling the paper speed will not reveal hidden P-waves June 22, 2016 RCP de Alto Desempano – ?Rendimiento sobre Protocolo!


Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) are disorders caused by blood clot that blocked either the leg or lung artery.
Do note that a blood clot in the thigh artery has a higher risk of causing PE than blockages at the lower leg. PE occurs when the blood cloth from DVT broke away from the legs and moved up to the lungs, blocking a blood vessel.
Apart from a shot of thrombolytic, your doctor may give you drugs to reduce the clotting process.
Seven million people die from cancer every year, accounting for over 12 percent of deaths worldwide.
The best way to prevent lung cancer is to never start smoking, and if you are a smoker,  to quit immediately. One of the reasons lung cancer is such a killer is that it is difficult to detect in its early stages.
If you are diagnosed with lung cancer, your lung doctor will do more tests to find out how advanced the cancer is, and whether it has spread to other parts of the body. Lung cancer treatment involves many doctors, lots of new and complicated information, and many serious decisions. There’s S1 Q3 T3, however there is virtually no T wave in II and the T wave in aVF is flipped. Cardiologically, (is that a word?) be aware of more PVCs and where they fall, and be prepared for another run of ??? The only difference is I would titrate the O2 to keep the SpO2 to my medical director’s likings.
If the blood clot breaks away and travels all the way to the lungs, it can lead to pulmonary embolism or PE.
The most common symptoms of this condition are painful or tender spots on the legs while standing up or walking and discolored skin. In addition, the risk of developing DVT is higher if you spend more than 4 hours sitting down. If you are prone to prolonged sitting or standing up, we recommend doing bits of leg stretching and exercise daily. The most common PE symptoms include shortness of breath, chest pain, fast heartbeat and recurring cough. The meds won’t dissolve the blood clot, but it will give the body more time to liquefy the blood clot and prevent it from getting bigger. In the Philippines, cancer is the third leading cause of death, or almost 10 percent of all deaths.
If you are exposed to these materials at work, ask your health and safety advisor about how to protect yourself. It may take years for the cancer to grow, and there are usually no symptoms at the onset of the disease. Apart from the physical challenges of the disease and its treatment, people with cancer may have worries and feelings that can make life difficult. Be sure that you understand what your doctors are telling you, and share your questions and concerns.
After almost signing out AHA he was persuaded to stay by a doctor and nurse who informed him in no uncertain terms that he would die if he left.


If this were a true S1Q3T3 then the S wave would be deeper than the r wave is tall in lead one (this a right axis) However this is a low sensitivity item (23%).
It's not overtly indicated with sats at 96% and no obvious signs of respiratory compromise. If you are recovering from a certain condition and you were on bed rest for several weeks, walk around to get blood pumping into the legs. However, blood thinners may cause uncontrolled bleeding so you will stay in the hospital throughout the treatment. Lung cancer is the most common formof cancer in the Philippines, with an estimated 17,000 new cases in 2005.
It might also be used after surgery to kill any cancer cells that may have been left behind in the lung. Experts on living with serious illnesses agree that a positive outlook can improve the patient's quality of life, and may even increase survival. If your side effects are really bad, or if they last longer than expected, talk to your doctors and nurses.
The EKG and pt presentation leans toward a PE so it would definitely be high on the list but so would MI. The T wave inversions are quite deep though, suggesting this is new and further suggesting ischemia.
Of course, that can be also due to poor lead placement, but if it was Christopher Watford running the call, I doubt that was the case.
New ACLS guidelines oxygen isn't considered as part of the acs treatment unless their saturation is below 92% or they experience aggressive dyspnea. Eventually, the blocked artery will cause the whole leg to swell so it’s larger in girth than the other leg. Although much progress has been made inthe treatment of lung cancer, it is still the most common cause of cancer death.
Also,  a cancer support group can give you a safe place to share with others who can relate. IV, O2, Monitor, ETCO2 would be real good with this guy and then scare him into going to the hospital.
With sats increasing with mild oxygenation makes me wonder how a big PE can increase o saturization some easily. Doing this several times can give the body the carbon dioxide it needs to bring levels back up to where they should be.
Some possible ways to do this are breathing while pursing the lips or breathing through one nostril. For people who know they have overbreathing problems due to panic and anxiety, they can often even be used at home. Those who develop it because of overbreathing caused by conditions such as anxiety can usually expect to recover fully.
Once carbon dioxide levels in the blood are brought back to normal, the symptoms should disappear within a short period of time.



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