4d • Paramedic Talk
CHF Scenario
What gives it away that it's CHF over any other respiratory emergency?
Dispatch
74-year-old female with severe shortness of breath.
Patient Presentation
The patient is sitting upright in a recliner. She is anxious, pale, cool, and diaphoretic. She says, “I can't catch my breath.”
History
- History of CHF, hypertension, prior MI, and kidney disease
- Woke up suddenly gasping for air
- Cannot lie flat
- Missed recent furosemide doses
- Reports mild chest pressure
Initial Vitals
Mental Status: Alert, anxious
BP190/104
HR122
RR34, labored
SpO₂82% room air
EtCO₂30 mmHg
Lung Sounds: Crackles bilaterally
Skin: Pale, cool, diaphoretic
ECG: Sinus tachycardia
12-Lead: No STEMI noted
7:12
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2 comments
CHF Scenario
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Calling ALL future EMTs & Paramedics. Let's PASS the National Registry on the FIRST attempt.
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