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Seeing as how a patient in the scenario would probably be well known to EMS, I would have informed him long ago to move closer to a good hospital. :?

Please accept my apologies, as the alcohol has damaged too many of my brain cells. The condition I was referencing was hypoplastic left heart, not the condition the poster listed. Here is some info if you want to read about that condition:

http://books.google.com/books?id=qsQWI-v50...1&ct=result

I've come across that heart condition once in my short EMS career, in a transport from an airport to childrens hospital. They had the little guy on medical air (would've been nice if someone had informed us of that ahead of time), and the isolette ran out halfway through ground transport. Seeing as how we don't carry it, the RT had to bag him (on RA) for about 20 mins. That was the first time I'd seen an ekg of a heart rate greater than 220.


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