ECG Cases for EMS

Drawing on the collective expertise of prehospital providers and clinicians, ECG Cases for EMS provides paramedics, critical care providers, and nurses with practical case studies in emergency cardiology.

Twelve-lead ECGs and prehospital activation of the cardiac catheterization lab are becoming more and more common, with the burden of cardiac injury recognition rapidly shifting to the prehospital provider.

This textbook functions as an active learning tool structured around actual patient scenarios with corresponding ECG strips and offers interpretations of ECG findings and clinical tips. Cases focus on STEMI, STEMI mimics, and commonly misinterpreted dysrhythmias. ECG Cases for EMS provides evidence-based teaching points and real-world applications of ECG knowledge.

• Actual ECGs presented in “You Are There” scenarios.
• ECG interpretation and teaching points from nationally recognized educators, Drs. Amal Mattu and William Brady.
• A case-based textbook structure that facilitates active learning.
• Cutting-edge ECGs that push the boundaries of paramedic knowledge and scope of practice
• ECGs that mimic ischemia (e.g., pericarditis, hyperkalemia, bundle branch blocks, and more)
• Clinical "pearls of wisdom" for the practicing advanced provider

Table of Contents

• Introduction  
• Case  1  Chest Pain
• Case  2  Weakness
• Case  3  Unresponsiveness
• Case  4  Chest Pressure
• Case  5  Syncope
• Case  6  Dizziness
• Case  7  Syncope
• Case  8  Chest Pain
• Case  9  Chest Pain
• Case  10  Shortness of Breath
• Case  11  Chest Pain
• Case  12  Chest Pain
• Case  13  Fever, Change in Mental Status
• Case  14  Acute Pericarditis
• Case  15  Shortness of Breath
• Case  17  Weakness, Dyspnea
• Case  18  Chest Pain
• Case  19  Burning in Chest
• Case  20  Weakness
• Case  21  Weakness, Dyspnea
• Case  22  Chest Pain, Weakness
• Case  23  Chest Pain
• Case  24  Syncope
• Case  25  Unresponsiveness
• Case  26  Weakness, Dyspnea
• Case  27  Chest Pain
• Case  28  Weakness, Dyspnea
• Case  29  Shortness of Breath
• Case  30  Syncope
• Case  31  Syncope
• Case  32  Shortness of Breath
• Case  33  Syncope
• Case  34  Vomiting
• Case  35  Unconsciousness
• Case  36  STEMI
• Case  37  Respiratory Distress
• Case  38   Postoperative Pain
• Case  39  Weakness
• Case  40  Unresponsiveness
• Case  41  Chest Pain
• Case  42  Syncope
• Case  43  Syncope
• Case  44  Unresponsiveness
• Case  45  Weakness
• Case  46  Unresponsiveness
• Case  47  Burning in Stomach
• Case  48  Chest Pain
• Case  49  Unconsciousness
• Case  50  Weakness
• Case  51  Chest Pain
• Case  52  Syncope
• Case  53  Chest Pain, Cough, Fever
• Case  54  Syncope
• Case  55  Chest Pain
• Case  56  Percutaneous Coronary Intervention
• Case  57  Shortness of Breath
• Case  58  Chest Pain
• Case  59  Chest Pain
• Case  60  Interfacility Transport
• Case  61  Chest Pain
• Case  62  Weakness
• Case  63  Chest Pain
• Case  64  Respiratory Distress
• Case  65  Respiratory Distress
• Case  66  Weakness
• Case  67  Chest Pain
• Case  68  Weakness
• Case  69  Syncope
• Case  70  Respiratory Distress
• Case  71  Abdominal Pain, Vomiting, Diarrhea
• Case  72  Unresponsiveness
• Case  73  Shortness of Breath
• Case  74  Palpitations
• Case  75  Syncope
• Case  76  Chest Pain
• Case  77  Unresponsiveness
• Case  78  Chest Pain
• Case  79  Syncope
• Case  80  Chest Pain
• Case  81  Chest Pain, Nausea, Diaphoresis
• Case  82  Chest Pain
• Case  83  Burning in Stomach
• Case  84  Chest Pain
• Case  85  Syncope
• Case  86  Shortness of Breath
• Case  87  Respiratory Distress
• Case  88  Dizziness
• Case  89  Dizziness
• Case  90  Chest Pain
• Appendix  I  Answer Key