tag:blogger.com,1999:blog-4505990433916682663.post3053189093546090807..comments2024-03-13T02:04:31.476-04:00Comments on Paramedicine 101: DextrocardiaAdam Thompson, EMT-Phttp://www.blogger.com/profile/18107359165856983910noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-4505990433916682663.post-55937803453998077292009-09-08T17:07:22.444-04:002009-09-08T17:07:22.444-04:00Jinx,
Sorry for the delay...
... Yes, as I stat...Jinx, <br /><br />Sorry for the delay...<br /><br />... Yes, as I stated, put the pads on the opposite side if you know they have dextrocardia. <br /><br />If they have V-fib, it may be impossible to discover the history of dextrocardia without someone actually telling you they have it.<br /><br />I am sure there is a way to tell, if they are in V-Tach. I just don't know how, since V-tach can present with an extreme axis deviation. <br /><br />Remember, it would be pretty uncommon to find a patient in arrest with this condition. Anterior/posterior placement should work, even if you are slightly left of the main mass of the heart.Adam Thompson, EMT-Phttps://www.blogger.com/profile/18107359165856983910noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-81852080941344899792009-08-28T03:13:23.217-04:002009-08-28T03:13:23.217-04:00Just curious if anyone can tell me if you had a pa...Just curious if anyone can tell me if you had a patient with Dextrocardia and they were in VF or VT would you place the defib pads on the opposite sides for a better electrical pathway thru the heart on the right hand-side? Is it actually possible to know a patient has Dextrocardia if in VF/VT or can you only tell with a normal sinus rhythm? <br /><br />Cheers,<br /><br />JinxJinxhttps://www.blogger.com/profile/03955999009233447696noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-37021494109055708422009-08-20T16:20:12.555-04:002009-08-20T16:20:12.555-04:00Tazambo, that is pretty cool. Now I guess you'...Tazambo, that is pretty cool. Now I guess you'd know to reverse the leads. Obviously the dextrocardia itself requires no emergent treatment. <br /><br /><i>My God Adam, are you temporarily out of work or something? Where do you have time for all these great posts?</i><br /><br />I work 24/48s man, I got all the time in the world. I was at a slow station on Sanibel island as well..<br /><br /><i>Can I get permission from you guys to print this out and post it at my station so others can learn from it too?</i><br /><br />Permission grantedAdam Thompson, EMT-Phttps://www.blogger.com/profile/18107359165856983910noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-61257724761427072182009-08-20T15:30:48.989-04:002009-08-20T15:30:48.989-04:00Another great post!
Can I get permission from you...Another great post!<br /><br />Can I get permission from you guys to print this out and post it at my station so others can learn from it too?akroezehttps://www.blogger.com/profile/08672077465468282006noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-18310049094934136092009-08-20T04:44:32.776-04:002009-08-20T04:44:32.776-04:00My God Adam, are you temporarily out of work or so...My God Adam, are you temporarily out of work or something? Where do you have time for all these great posts?Shaggyhttps://www.blogger.com/profile/10687847155700323439noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-53821553494827514262009-08-20T04:38:26.599-04:002009-08-20T04:38:26.599-04:00You mean that is not common for all you Aussies do...You mean that is not common for all you Aussies down there?Shaggyhttps://www.blogger.com/profile/10687847155700323439noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-31914957916083079032009-08-19T01:54:14.533-04:002009-08-19T01:54:14.533-04:00I've seen/had a patient with this condition.
...I've seen/had a patient with this condition.<br /><br />I was a newish student at the time and I can't remember what we transported him for.<br />His 3 lead EKG looked a little weird.<br />He denied ANY previous medical history when asked.<br /><br />At the ER the 12 lead looked weird, a junior Dr showed the EKG to a senior Dr who picked it straight away.<br />When questioned, the patient said, "Yea, I've got that reversed heart thing".<br /><br />An x-ray confirmed it, as did his hospital notes.Tazambohttps://www.blogger.com/profile/17833911300766316666noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-60756390129552567602009-08-19T01:52:23.585-04:002009-08-19T01:52:23.585-04:00This comment has been removed by the author.Tazambohttps://www.blogger.com/profile/17833911300766316666noreply@blogger.com