Home / Site Map / About Us / Contact Us / Navigation ??? Important info / Lay Person Info / Career Info / San Deigo City Map
SD County C.E. Schedual / Virtual Post Office / Photo Gallerie / News / Shift Calendar / Paramedic C.E. / Patch Trading Post

The San Diego Paramedics

12 Lead Cardiography

Differential Diagnosis of Chest Pain

rev. 09-03-97

Diagnosis Pain Relief Associated
Symptoms		 E.K.G.
Aortic
Dissection		 Excruciating, Tearing;
May migrate to arms, neck, back and shoulders		 Analgesics:
Resection		 Blood pressure differences in arms,
unequal arterial pulses		 No changes
Pericarditis Sharp, Sudden:
Constant; increases with change in position and respirations.		 Sitting up, Leaning forward;
Anti-Inflamatory drugs 		Pericardia friction rub Global ST & T-wave elevations
Pulmonary
Embolism		 Sudden;
Over lung fields, increases		 Analgesics Hemoptysis;
Shortness of breath		 Right Axis Shift
Pericardial Tamponade Shock presentation Pericardial Tap;
pericardialcentesis		 Distant heart sounds;
Shortness of breath;
Pulseus paradox;
JVD
Angina Substernal;
may radiate;
pressure;
heaviness;
burning		 Rest;
Vasoldialtion;
equalize O2 supply and demand		 Diaphoresis Elevated ST segments resove with relief of pain
Prinzmetal's Angina At rest;
Cluster timing; 12:00pm-8:00am;
young males		 Vasoldilation Elevated ST segments resolve with relief of pain
Unstable Angina At rest;
unrelieved with NTG;
change on exisiting pattern of pain or new onset		 Equalize O2 supply and demand Diaphoresis Transient ST and T wave changes resolve with relief of pain
Myocardial Infarction Sudden onset;
crushing;
substernal;
may radiate to jaw , neck or back		 Angelesics;
reprofusion: Thrombolytic, (mecahnical or surgical)		 Diaphoresis;
weakness, shortness of breath, anxiety, felling of doom, nausea, pale or ashen color skins, rales: wet lung sounds		 Elevated ST segment:
significant Q waves;
T wave inversion, dysrhythmias

By, Mitch Mendler E.M.T. Paramedic FireFighter,San Diego Fire and Life Safety Services.

References:

to S.D. Medic 12 lead for more information...

More information and educational Software from these companies:

Genentec Inc.
phone # 415-225-1000
Armus Cardiology Educational Software

phone # 1-800-942-7687
Little Brown Publishing Company
phone # 1-800-527-0145

Click here to send E-Mail to The San Diego Medic Association.

Click here to go back to the main page: The San Diego Medic Paramedics.


The
Beginning
Navigation
S.D. Dispatch
S.D.
Paramedics
S.D.
MedNews
On-Line		 {short description of image}
E.K.G.
LINKS
Public Safety		 {short description of image}
Maltese Cross		 {short description of image}
Saint Florian		 {short description of image}
Fire Dogs and Horses		 {short description of image}
The Magic
Wand

Web page design and maintenance by Mitch Mendler E.M.T. Paramedic;The WebMaster!



All aspects of this page are copyright © 1996 The San Diego Paramedics & S.D.C.P.A. and unless otherwise stated are the property of the San Diego Paramedics and the San Diego County Paramedic Association.