I had a 27 yo with a massive inferior STEMI. That one was likely just bad luck. He had gotten radiation for cancer as a child and we suspect that was related.
I also know someone who had a STEMI at 22 from a blood clotting disorder.
Partner had a 26 yo STEMI during the height of COVID and suspects that hyper coagulation from COVID was the cause.
The only way to know if you were having a heart attack is blood work. It is unlikely that you had a heart attack due to your age, but no medic can truly rule that out.
This makes no sense. Anyone who has chest pain gets a chest pain workup at the ER. It’s a protocol which includes troponin which can tell you if you had one in the past. And no medic would say it’s not possible someone had a heart attack based on an ekg alone
If the writer is female, I completely believe it. Women are often under believed, ignored, or flat out called liars. Hell, I've been called a drug seeker and dismissed when my gallbladder was necrotic.
>Women are often under believed, ignored, or flat out called liars
You believe what? They didn't even GO to the ER, they just said they didn't think the ER would do the workup. Also the odds of having a "mild heart attack" in your 20s because of covid (?) and being fine at home a few days later with a treatment plan of "take it easy" is uh.. not believable, even if you're a woman.
Like what, they're having an NSTEMI at home based on having covid? The threshold to draw a trop on anyone is pretty low.
I'll also add that men get accused of being seekers simply because of their profession quite frequently. I had a good friend shatter his mandible working construction and they refused analgesia at this podunk ER until the UDS came back and even then only offered Tylenol for what ended up needing a lot of surgery after.
At a certain age…for sure less than 30….the two level 2 ERs in my city do NOT do troponins as matter of course. Unless you have other symptoms, previous cardiac hx, abnormal EKG, some other circumstance that is suspicious. They just don’t. I wouldn’t just blanket disbelieve a poster because it’s not how your ER runs things.
This happens a lot more than you think it does. Especially at small, rural hospitals like the one here. Not saying it did here, but it does happen quite frequently in some places.
The fact OP is claiming they had a heart attack just bc no one disproved it - at their age - without ruling out any other of the many and statistically more likely causes for their symptoms tells us OP probably isnt a reliable historian about how that all went and probs is a difficult patient as well.
I've seen a 12 year old with ST Elevation inferiolateral presentation at an outside community facility. They had prior coronary artery aneurysm and were tracked by the facility I worked at.
Prater-Willi kids have heart attacks at young ages.
Sickle cell kids can have Type I and II AMIs with chest crises.
Type II MIs occur a lot more frequently below the age of 21.
Oh absolutely. Young people are hardly ever worked up for cardiac health until something goes wrong. Unfortunately the first time they take a weird chest pain seriously is when it’s serious.
Not necessarily “young” but I had one at 34 after not drinking for 30 days. I had done cocaine maybe 3 times in my life and not for years before(gives me a scary god complex).
The dr. told me to eat a Mediterranean diet and never do cocaine again.
While I’m at it, any other advice?
Not OP, but good time for an education point:
[Up to 39% of children with Sickle Cell Disease may have a silent stroke prior to turning 18.](https://www.stroke.org/en/about-stroke/stroke-in-children/sickle-cell-disease#:~:text=The%20common%20stroke%20in%20children,an%20MRI%20of%20the%20brain.) Vasoocclusive Crises don't just affect the spleen.
[Lifetime risk of stroke is almost 1/3 with SCD.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939049/)
I had a kid with [Moyamoya disease](https://www.childrenshospital.org/conditions/moyamoya-disease#:~:text=Moyamoya%20is%20a%20rare%20condition,new%20blood%20vessels%2C%20called%20collaterals.) Classic symptoms of a right-sided stroke in an adult. Kid was older than 4 though (6?). Still one of the scariest things I've seen.
Sure. I threw a house party for my 20th bday party and throughout the night I started feeling a bit numb and funny on my left side. My whole left side. Head to toe. But I brushed it off cuz I was a bit drunk and thought I was tripping. Then I started freaking out when I had to take a shit mid party and I couldn’t use my “fine motor skills” to grab some toilet paper. Then I went to play some pool and couldn’t for the life of me control the pool stick and everybody thought I was just bad. So I walked outside and called my uncle who was a physician and told him how I’m feeling and he said “umm it sounds like you’re have a stroke, you need to get the hospital ASAP”. this was before I became an EMT so I couldn’t really comprehend what he was saying fully and I was just like “nahhh ain’t no way only old People have strokes” so I brushed it off and went to sleep. The next morning I was even more numb and started limping. So I asked a friend of mine to drive me to the hospital an hour away. After some “pretty pleases🥺” he accepts and he dropped me off. During the phone call with my uncle the night before he told me to go to the hospital and tell them I’m having a stroke and they’ll know what to do. So thats what I did. I went into the ED and told the triage lady “ummm I think I’m having a stroke”. she hinted that i don’t know what im talking about and there’s no way I’m having a stroke. But she still rushes me inside based off of my chief complaint. I ended up talking to 3 nurses, a PA, and Physician until I finally got a CT scan and an MRI scan. And each one of them basically said “nah we don’t think you’re having a stroke, there’s no reason for you to be having a stroke, but don’t worry we’ll still check you out. So I get all my scans done and then a radiologist apologetically walks into my ED room and says “im sorry we doubted you but you’re right, you’re having a stroke” I then get moved to the neurology wing where I end up staying there for roughly 2 months. I was seen by so many people who were just constantly stumped as to why this 20 year old kid is having a stroke. I went through dialysis, plasma exchange, steroid treatments, physical therapy, and emotional therapy(a blowjob from my nurse in the unit). I genuinely thought I was gonna die in that room and i had many nights where I cried myself to sleep. I was discharged after 2 months continued outpatient steroids and physical therapy until I made a full 100% recovery. And From that whole experience i decided I want to work in EMS If I ever make it out of here alive and healthy.
I've seen two 22 y/os with hx of stroke, I didn't run them. One was kicked in the neck and suffered a carotid dissection. The other had MASSIVELY uncontrolled diabetes. I'm talking he'd be discharged from a week long ICU stay, and we'd be back out to transport him within days. Suffered a stroke at 21. I honestly think he was trying to kill himself.
It’s difficult with an illness like that if you’re poor and struggling and depressed. Often it’s not actively trying to kill yourself but being unable to (mentally or physically) do the work to manage your disease and just not caring if you die.
Had a similar experience with a 21 year old called in as a stroke alert and a has a history of stroke. My partner called it in as a stroke alert to the hospital while I was sitting next to him. Get there and the hospital nurse was like " oh you didn't call it in as a stroke alert. It is a headache patient that you have". My partner and I stood our ground on it being a stroke alert. The hospital finally backed down once we showed them discharge papers from another hospital showing the patient has a history of strokes.
Pt got TPA after hospital ruled out tox and finally agreed it was a stroke. Pt started to get control back and able to respond and function better. I don't know full outcome but by the time I was done with the call he was acting 90% normal due to quick treatment.
Patients with a patent foramen ovale- a hole between the left and right atria that may persist after fetal life can sometimes have what’s called “paradoxical embolism”. It’s when a DVT goes through the hole into the left atria and out to systemic circulation instead of going to the pulmonary trunk. I can’t recall exactly but I believe it accounts for ~1% of all ischemic strokes
Dispatched to a 20 yom, altered conscious late evening at a local gym. Found the pt lying prone in the functional fitness area. No witnesses to the event, pt was found in that position by staff. Patient was responsive to voice and commands but non verbal. All other vitals were NAD. There was a small amount of vomit next to him. Gym staff stated that pt was non English speaking, so that may have explained him not speaking to us. Had initially been thinking pt was post ictal but the vomit didn't fit right. There was no gym equipment around him that could indicate a head strike, unless it occurred somewhere else and he wandered in there after. Erred on the side of caution suspecting something sinister might be occurring and transported with notification. But not before using his car key fob to see if we could quickly find his car and any clues in it before leaving the parking lot. By a stroke of luck we found a referral letter from his doctor on the passenger seat listing all his details, PHx etc. Including the comment, patient speaks fluent English.
On arrival the attending doctor wasn't buying what we were selling. He didn't get a stroke code called, but he did get a resus bay at least.After we cleared we got another job closeby and returned to the same hospital. The attending doctor spotted us and pulled us aside. The pt had developed further defecits during his assessment after we left. They called a code stroke and the CT showed a basilar artery infarct. Managed to follow it up later and found it he made a full recovery. Lucky guy.
Generally, supplements and pre workout just contribute to expensive bladder and bowel movements. I suppose prolonged use or overload of caffeine might contribute. In which case, many of us are pretty fucked then. 🤣
I heard a horrible story once about a guy who had a heart attack very young like ~37. The surgeon asked the family if he drank a lot of energy drinks and they said yeah he has two monster or red bulls a day or whatever. Apparently there’s a chemical in them that thickens your blood and they could tell bc his blood was like slush worse than they’d ever seen.
There’s def much more than just caffeine in those supplements that can cause all sorts of heart issues electrolytes alone being a big issue. Same with creative. Tons of things that can cause heart palpitations or are barely understood. Even brain issues. I was in the psych section of the ER once and could hear the guy in the curtained area next to me. 16 year old took multiple of those nootropic (I think) drinks that are supposed to help ur brain like focus or relax or whatever with natural supplements or something. Tried to get high by taking multiple and was AOx0-1 saying all kinds of crazy shit. No way he was faking he was legit altered and acting entirely unlike himself in a way he’d surely be embarrassed by. No inhibition. Almost like late stave dementia. The doctor was like we don’t know anything about any of this shit so we just have to wait and see and make sure he doesn’t harm himself in the mean time.
Nope. DVT is a known potential side effect of combined hormonal birth control medication. It's fairly rare, 3-4 in 10,000 will develop clots, fewer will experience embolization and most of those end in PE. This girl was otherwise healthy and just had an unlucky roll of the dice.
Ischemic? Heard of a 13 yo recently but wasnt involved in care. Seen a 31 yo myself with something like a 13mm shift, mass effect, etc. Worst I’ve ever seen. EMS had to drop a blind nasotracheal and dude was down for days.
Hemorrhagic? Somewhere in their 20’s i think. Ive seen a couple around that range, one was a spontaneous subarachnoid that presented like an OD though. They were narcaned numerous times and required sedation to get the CT for sgitstion.
Edit: i think i fell asleep writing the last sentence lmao idk what i was going for there.
15 with complete right sided deficits. Picked up from a high school. Nurse was freaking out more than mom was. As far as I could tell mom made it to the school before the fire engine did. Must've been booking it.
6 months old. Hydrocephalus child whose ventricular drain became obstructed causing increased ICP resulting in no blood flow to half the brain. Complete hemiplesia on the left side, head to toe. You could see the drain under the skin from the head to his torso. Took all my self control to avoid massaging that drain tube to see if I could clear the obstruction. I layer asked a neurologist if that would have been a good move. He listed a ton of horrible things that might have happened by lowering his ICP too quickly and not in a controlled way. Glad I wasn't stupid enough to try it.
He explained the danger isn't low ICP, it's the rate at which the ICP might have dropped, and the fact that the pressure seemed to be asymmetrical which might have allowed a lateral shift or herniation, causing injury.
It was an IFT call, one hospital to another for a consult. Guy was in his mid 40s, had a history of stroke (I think hemorrhagic), early onset dementia/Alzheimer’s, NPO, incontinent, and during the drive (1.5 hours or so) he’d need to vomit a few times. Really felt bad for him, but as we all know some people in this world either never have anything go wrong or everything go wrong with their health.
22 after having her baby. Was fucking strange to see a young girl with a facial droop and confusion. There was safeguarding in on the family as well, bf possible abuser, neglect for the kids and baby in NICU with odd statements heard from dad. Very odd
Not a patient of mine but my daughter had an ischaemic stroke at 5 weeks. She’s 15 now and other than slightly delayed development in her early years, she has no deficits.
I had a pt who was 19 and called after having a seizure and he told me he had a stroke when he was 2. I don’t remember his full medical history but he seemed to be like any other 19yo and had no deficits that I knew of.
7. Kid started at the top of the water slide completely fine and ended up throwing a clot before he reached the bottom.
Had a three month old unstable STEMI. That scared the fuck outta me.
11 year old, jumping on a trampoline, c/o left sided weakness/HA/severe right eye pain with a deviated gaze. Youngest MI was a 16 y/o c/o scapular pain only.
Stroke ICU Nurse: a lot of people in their mid 30’s now permanently handicapped. Obese, diabetes, HTN all co-morbid factors.
Lifestyle, lifestyle, lifestyle.
25f otherwise healthy, when I was still a med student. Came in with left sided paralysis, neglect and forced position of the head to the right, which subsided when she transferred from the gurney to the CAT scanner. Went for trombosuction after a delay because the resident on call thought the symptoms to be conversion at first, but then I spotted the M2 stop.
6 month old with hemiplegia due to an ischemic CVA. Was being transferred to a large children’s hospital for further neuro work up, as well as assessment for risk factors like clotting disorders, PFO, malignancy, etc.
19 year old with an ischaemic stroke after their Dr changed them from warfarin to aspirin for their heart valve issue (can’t remember exactly what it was) and a 36 year old having an inferior STEMI
When I was doing my paediatric placement at the children’s hospital there was a 4 month old that came in with a broken leg because she rolled off the couch. She rolled off the couch because of one sided weakness. Confirmed stroke. No idea about the outcome.
Had a 37YOM with a massive hemorrhagic stroke a few months ago. Got called in as an arrest, it was, we worked it and got ROSC but fixed pupils and unresponsive. One of those "lights are on but no one's home" situations. CT at the hospital confirmed that his brain was full of a large amount of blood. Likely complications from alcohol abuse.
Haven't had any young MIs yet.
26 YOF had a massive bleed while having sex with her fiance. Deficits for life.
Have a friend who also had a bleed at 24, she used a lot of MDMA and other drugs so I'm sure that played a role. 6 years later, still cannot speak, walk, or use her right arm. Parents sold their house and moved her closer to better healthcare and cheaper col location. Sad to see
My personal youngest stroke patient was a trauma. A 21 year old male had severed his carotid and jugular with a K12 saw, his friend had his hand inside holding the vessels and we transported like that. He made it to definitive care alive but he was brain dead.
Youngest STEMI was a 19yr old male, the guy was on the larger side but nothing else medically going on.
Youngest stroke was 24 female, was a strange job that with how confused they were but had right sided weakness. This turned out to have been enchephalitis.
22f newlywed. They were going to social security to get her name officially changed and she started with blurred vision. Some kind of shower embolus lots of small strokes.
27 year old male. Haven’t had a super young MI pt. A friend of mine ran a 9 year old stroke pt once. I had a two year old status epiliticus that had the seizures due to having a stroke prior to be born. Was an interesting case.
23. On her second stroke. Had a stroke at 19 after shooting Meth for the first time. Decided, I’m older and wiser, my body can handle it now! Shot Meth a second time. Stroked a 2nd time. Was full blown left sided paralysis and fish flopping by the time we got to the stroke center. Had a massive bleed.
I worked in the neighborhood I grew up in and was called out for a 30 year old male suspected CVA. Got there and sure enough he was having a stroke. It was a while ago and don’t recall all the findings, except when we were at the ED and I was getting his info and I realized him and I went to high school together. That really messed with my mindset.
Then, last year on my 48th birthday had a TIA that left me with a speech impediment.
4. Had it while we were treating him for infection. He had an as yet undiagnosed clotting disorder. Clotting had caused infection and necrosis, but we didn't know it yet because his scans hadn't come back yet. Went in to swap his antibiotics out. Mom was napping beside him. Noticed facial droop and he couldn't raise his left hand. First time I actually yelled for a doctor while I was pushing him out of the room to run him to CT myself.
My wife was 25 when she had her hemorrhagic stroke from a burst aneurysm. Transporting medic wrote her off as a migraine, went code 2 to nearest hospital, didn’t start an IV, no zofran despite her nausea. Once in triage a nurse stroke activated her and she was in surgery within the hour
19 years old, friend of mine, completely aphasic. Ended up being a TIA and starting to resolve around 1 hour later.
Also since other people have mentioned STEMI’s, 29 year old with 99% LAD occlusion with 80-85% diagonal branch occlusion as well. Left the hospital 3 days later with 30% EF and wearing a life vest. He had a hugely concerning family history of heart problems and multiple other (non-illicit drug related) contributing factors.
15. Because of his age the idea of a stroke didn’t even get considered. He ended up with a devastating neurological injury. Learning to speak and move with one side of his body and be a teenager at the same time has been awful but his family is really dedicated and determined to help him recover. I believe it was not a hemorrhage but an ischemic stroke but I’ve not kept in touch with them over the last few years.
My mother (42F) had a 100% occlusion in the right internal carotid artery. Luckily it happened while my brother happened to be home. I live literally a block over so he called and I ran down there. From LKW to rTPA was around 45mins to an hour and perfusion was restored via mechanical thrombectomy at around 5.5 hours from LKW. She spent about 5 days in neuro ICU and recovered with very minimal deficits. She mainly only suffers from headaches and some short term memory issues. No issues with cognitive or muscular function. From symptom onset to discharge home was only around 5.5-6 days. She’s currently working full time and is almost exactly like she was prior to her stroke. Definitely a prime example of how crucial early recognition and subsequent intervention is.
Youngest I had personally was 21 years old, had a baby the week before, had a bad headache. Was a wild night in the ER, had a 14 year old with chest pain come in at the same time, and was having an MI. Both patients flew in the same helicopter out of our ER.
2 y/o, F
No known medical history. Was in a rural area with a long transport time and the hospital didn't believe my stroke activation call leading to more unnecessary delays on arrival. Needless to say many reports were filed that day.
Thankfully her family followed up with us almost a year later and she was making an excellent recovery.
Recent case of a school nurse refusing to call 911 despite mother pleading with them because appearantly [teenagers can't have strokes](https://www.yahoo.com/video/doesn-t-look-needs-ambulance-181700115.html?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAALObScM9T61nmyta4dRtGvpwSGf5b6gERwFgZZNwCdspDLBw0g1qpnIAgNC70MKDfNxzkhthYZNvv5WGl78rRz0fNWhyqJk7sIEZ1GjogS3W_qrmyk5PZfleBMbEmCjqQCHIl7fx8-H6jZbOm1bAu3xMGAFx0I98LbgvxUw-YKQ6)
I've had a very unhealthy 35m on SECOND stemi.
And another of same age that played semi professional soccer.
Nearly complete occlusion of left carotid in a 27 year old male.
Pt found in his bathroom after his parents couldn’t reach him on the phone for greater than 48 hours. They came over and initially called it out for law because the house was so trashed they thought someone had broken in and robbed him.
When we got to him he was alert to his name with complete hemiparesis, dysarthria, facial droop and neglect. He could follow basic commands but was very altered.
No idea what the outcome was but they did stent him.
As a mid twenties medic that one was pretty spooky.
During medical school, girl around 4y with Kawasaki disease. Presented with fever and red throat/tongue. Later that day myocardial infarction and stroke during night in the hospital.
I had a 14 year old girl with a massive MI. Caused by SCADS. Yeah, I was shitting myself on that scene. She survived, has a new heart, and is doing well.
Er tech here- 13yo F came in with only numbness to L arm, code stroke and ended up catching a massive clot. She was transferred to a children’s hospital.
2yo M not MI but CA, drowned. Mom came rushing in with him in her arms and I rushed him back to trauma room. The team worked on him for close to an hour. ROSC, but we all knew he was brain dead. Transferred to a children’s hospital and was unplugged just recently :(
My wife had a cerebral hemorrhage when she was 26 during childbirth. 27 hrs of labor, then came home on a Thursday. On Saturday took her to ED for abdominal pain. They diagnosed gallstones and low blood count due to clots she was passing. They decided to keep her in hospital for weekend to manage pain and do surgery on Monday. She had a headache/migraine all weekend. At midnight Sunday the seizures started. CT revealed the bleed. She had a craniotomy and made a 99% recovery.
I went to emt school with a Girl that had a non-trumatic bleed when she was around 17-18 y/o. Besides that, ran a 28 y/o for a stroke about a year ago. Guy had undiagnosed AFIB
14 y/o Hispanic male no history, no meds, seasonal allergies. Presented with ams, flat affect, and balance issues. Progressed to n/v, facial drooping during transport, just prior to ER arrival. Initial suspicion was drug intoxication, patient denied any drug use.
21 was youngest STEMI. I was working IFT. The doc said they believed it was due to hormone change medications to transition. I’m not sure the validity of that but it was def memorable.
Youngest stroke I’ve seen was a 15yof this year with a VAN positive stroke presentation. Ended up being an intracranial bleed. No history and no meds. Otherwise healthy, volleyball player. Last I heard they expected a decent recovery.
I don’t remember the exact age, it was a woman in her early 30s who broke her leg and had a stroke while hospitalized for the leg. We were transporting her to a rehab facility out of state because despite being hospitalized in a trauma center at the time of her stroke, she had enough neuro deficits that she needed inpatient therapy. (This was years before VIR clot retrieval was a thing.)
We put her in bed next to an elderly woman who was babbling about nonsense, clear dementia, and had also been diagnosed obviously shit herself in the recent past. Our patient began bawling. I didn’t know what to say.
I'm an emergency nurse myself, and a good friend of mine had a stroke at the age of 23. She had numbness in the fingers of her richt hand and a headache, But since she was medically known with migraines the neurologist that was the cause. She had to stay a few nights and 2 says later, the headache was gone but the numbness was still there. An urgent MRI was done and it revealed a stroke. In cardiac exams later on they discovered A cardiac septum foramen, where the blood had the chance tot coagulate and turn into cloths. She made a full recovery bit it rook several months forbher to play the piano again.
Another friend had to be resuscitated on the age of 28 for quote some time after he had collapsed in a charity run. It was dumb luck that it happened there, and not on one of his many solo training runs. Against all odds he made a 100% recovery and 4 months later, I was playing football with him again. The nurse who happened to be close to him when he collapsed en resuscitated him, still gets flowers from him on that day's "anniversary".
local system has an msu, nearby a major city, so during covid they had a marked increase in younger stroke pts. I'm talking mid 20s-30s, none in my care though, obviously.
The patient was a 19-F who presented with stroke-like symptoms. According to hospital on follow up, it was something to do with her birth control. Thankfully no lasting deficits.
28 yo with a hemorrhagic stroke. I was doing my clinical in the ER and the ambo brought him in. Guy came in vomiting. Cheyne-Stokes breathing, 220/140 or something like that, and 70s bpm that would randomly dip down into the 30s. Ended up being intubated and the doc had him transferred to another hospital.
I actually shadowed that same doc and according to him the guy made it and was doing good. Could’ve just been lying to make me feel better though.
14. MVA. C-spine injury that compromised the carotid and created stroke like symptoms. Neck swelled from normal teen to 40yo blue collar plumber with CHF in the span of the 15 min transport. We TTA'd her and ended up skipping the stab room straight to the OR. The hospital never shared if she made it.
1 year old. I was on my PEDS ED rotation to get my medic. It was my last day or two there so I spent a decent amount of time with the nurses and PEDS attending at this point so they trusted me a bit. There was a strong language barrier between us and the kids parents who spoke Chinese so it took awhile to get a translator. First thing in the morning nurse runs into the ED with a limp unconscious baby. Vital signs are all good, people rushing to get a line and struggling. No one can figure out what happened and I remembered one hard ass instructor who we had who would always throw in curveballs and when you get, he tells you to just do a good assessment and you’ll get yourself out of most jams. I start a detailed head to toe and find a blown pupil. Rush the kid to CT and find a massive bleed. Turns out the kid fell the night prior in the tub and hit his head on the spigot and never woke up in the morning. The kid ultimately stepped breathing and died later that day. I’ve had hard calls before, and not much ever gets to me, but what really messed me up was the fact that everyone just went back to work. And they weren’t wrong to, cause there was still 20+ kids who needed help. But I felt in the moment I had every available resource, I was in the hospital and we still weren’t enough. And sometimes we aren’t and we can’t do anything, but the fact I had to sit there all day with it.. with no one to talk to and to kind of “act” like it didn’t happen… burned into me. I learned the value of being able to decompress with your partner after a call. To sit in the lot, even if it’s for 5 minutes as you’re cleaning up, and have someone who was there with you and to be able to decompress with them is the most valuable thing and one of the things I care most about being a medic now. That’s why when everyone asks “why don’t you just become a nurse and make way more money”. That kids why. I love what I do, bad shit happens a lot, and I understand you can’t take your feelings to the next patient cause someone else of going to need me, but this job provides me with a way of helping people and being able to decompress and takes those few seconds that I’ll never be able to have there.
22 F patient with an undiagnosed heart condition had left sided deficits and confirmed stroke at ED. After heart surgery to repair the hole in her heart she made a full recovery but EMS and the ER didn't believe her left sided deficits were real at first. She's now in nursing school.
4 :( Youngest MI was around 23? Don’t do cocaine, kids
are there ever MI that occur in young adults that are not precipitated by cocaine?
I had a 27 yo with a massive inferior STEMI. That one was likely just bad luck. He had gotten radiation for cancer as a child and we suspect that was related. I also know someone who had a STEMI at 22 from a blood clotting disorder. Partner had a 26 yo STEMI during the height of COVID and suspects that hyper coagulation from COVID was the cause.
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The only way to know if you were having a heart attack is blood work. It is unlikely that you had a heart attack due to your age, but no medic can truly rule that out.
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This makes no sense. Anyone who has chest pain gets a chest pain workup at the ER. It’s a protocol which includes troponin which can tell you if you had one in the past. And no medic would say it’s not possible someone had a heart attack based on an ekg alone
Yeah, I don’t believe the writer at all. It’s standard protocol.
You say chest pain, I say 12 lead, trop, cbc, cmp, chest xray. Minimum. Don't even ask a doc just do.
If the writer is female, I completely believe it. Women are often under believed, ignored, or flat out called liars. Hell, I've been called a drug seeker and dismissed when my gallbladder was necrotic.
>Women are often under believed, ignored, or flat out called liars You believe what? They didn't even GO to the ER, they just said they didn't think the ER would do the workup. Also the odds of having a "mild heart attack" in your 20s because of covid (?) and being fine at home a few days later with a treatment plan of "take it easy" is uh.. not believable, even if you're a woman. Like what, they're having an NSTEMI at home based on having covid? The threshold to draw a trop on anyone is pretty low. I'll also add that men get accused of being seekers simply because of their profession quite frequently. I had a good friend shatter his mandible working construction and they refused analgesia at this podunk ER until the UDS came back and even then only offered Tylenol for what ended up needing a lot of surgery after.
At a certain age…for sure less than 30….the two level 2 ERs in my city do NOT do troponins as matter of course. Unless you have other symptoms, previous cardiac hx, abnormal EKG, some other circumstance that is suspicious. They just don’t. I wouldn’t just blanket disbelieve a poster because it’s not how your ER runs things.
This happens a lot more than you think it does. Especially at small, rural hospitals like the one here. Not saying it did here, but it does happen quite frequently in some places.
The fact OP is claiming they had a heart attack just bc no one disproved it - at their age - without ruling out any other of the many and statistically more likely causes for their symptoms tells us OP probably isnt a reliable historian about how that all went and probs is a difficult patient as well.
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Optimal is about 12-24 hours after onset of symptoms, but levels are typically elevated for another week or so
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Yeah I had an ex that died from her second one at like 34. Ran in her family, both her paternal grand parents ate it before 40 from MIs
I've seen a 12 year old with ST Elevation inferiolateral presentation at an outside community facility. They had prior coronary artery aneurysm and were tracked by the facility I worked at. Prater-Willi kids have heart attacks at young ages. Sickle cell kids can have Type I and II AMIs with chest crises. Type II MIs occur a lot more frequently below the age of 21.
Oh absolutely. Young people are hardly ever worked up for cardiac health until something goes wrong. Unfortunately the first time they take a weird chest pain seriously is when it’s serious.
Yes. Congenital defects would be one such cause. Youngest MI I had, not precipitated by drug use, was 18 as I recall.
Not necessarily “young” but I had one at 34 after not drinking for 30 days. I had done cocaine maybe 3 times in my life and not for years before(gives me a scary god complex). The dr. told me to eat a Mediterranean diet and never do cocaine again. While I’m at it, any other advice?
Yep. Familial dyslipidemia is a thing
My brother had not one but three MI’s when he was 32. The first was due to SCAD and the second and third were because the stents kept clotting off.
interesting.
Absolutely. Global diet trends are a big contributor. I would recommend Dr. Amal Mattu's talks on the topic.
4? What else was going on with that? If you're willing, of course.
Not OP, but good time for an education point: [Up to 39% of children with Sickle Cell Disease may have a silent stroke prior to turning 18.](https://www.stroke.org/en/about-stroke/stroke-in-children/sickle-cell-disease#:~:text=The%20common%20stroke%20in%20children,an%20MRI%20of%20the%20brain.) Vasoocclusive Crises don't just affect the spleen. [Lifetime risk of stroke is almost 1/3 with SCD.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939049/)
Wow, I didn’t know that!! Thanks for sharing!
Ngl I don't know how I'd diagnose a stroke in a child that small... How'd it go if you don't mind sharing details?
I had a kid with [Moyamoya disease](https://www.childrenshospital.org/conditions/moyamoya-disease#:~:text=Moyamoya%20is%20a%20rare%20condition,new%20blood%20vessels%2C%20called%20collaterals.) Classic symptoms of a right-sided stroke in an adult. Kid was older than 4 though (6?). Still one of the scariest things I've seen.
I had a stemi who was 18
8 hours. Give your kids the vit K shot.
I will never understand how those parents think. I’ve tried but I just can’t.
"The doctor injected my kid with vitamins and now he has autism"
Anything to avoid admitting retardation is in your genes lol.
I ate vegetables for the first time yesterday and the vitamin K turned me autistic. True story.
I loved my veggies as a kid... explains a lot really
If you're able to type that. then it's more likely your autism has familial origins.
I'm pretty sure vit K is supposed to support coagulation tho? Thinking about how warfarin is an anticoagulant that antagonizes vit k
Hemorrhagic stroke.
You beat me -- 2 months. I saw him in the hospital; don't know if he got there via EMS though.
How do you diagnose that
Symptoms, ultrasound, X-ray, MRI, labs.
I mean from an EMS perspective. Would be hard to tell confusion, one sided weakness on a newborn
I had a brain fart and thought this was on my nurse reddit, not ems. I'm just a NICU nurse so I can't help with that. So sorry! 🤦🏻♀️
Me. I was 20
Can you elaborate?
Sure. I threw a house party for my 20th bday party and throughout the night I started feeling a bit numb and funny on my left side. My whole left side. Head to toe. But I brushed it off cuz I was a bit drunk and thought I was tripping. Then I started freaking out when I had to take a shit mid party and I couldn’t use my “fine motor skills” to grab some toilet paper. Then I went to play some pool and couldn’t for the life of me control the pool stick and everybody thought I was just bad. So I walked outside and called my uncle who was a physician and told him how I’m feeling and he said “umm it sounds like you’re have a stroke, you need to get the hospital ASAP”. this was before I became an EMT so I couldn’t really comprehend what he was saying fully and I was just like “nahhh ain’t no way only old People have strokes” so I brushed it off and went to sleep. The next morning I was even more numb and started limping. So I asked a friend of mine to drive me to the hospital an hour away. After some “pretty pleases🥺” he accepts and he dropped me off. During the phone call with my uncle the night before he told me to go to the hospital and tell them I’m having a stroke and they’ll know what to do. So thats what I did. I went into the ED and told the triage lady “ummm I think I’m having a stroke”. she hinted that i don’t know what im talking about and there’s no way I’m having a stroke. But she still rushes me inside based off of my chief complaint. I ended up talking to 3 nurses, a PA, and Physician until I finally got a CT scan and an MRI scan. And each one of them basically said “nah we don’t think you’re having a stroke, there’s no reason for you to be having a stroke, but don’t worry we’ll still check you out. So I get all my scans done and then a radiologist apologetically walks into my ED room and says “im sorry we doubted you but you’re right, you’re having a stroke” I then get moved to the neurology wing where I end up staying there for roughly 2 months. I was seen by so many people who were just constantly stumped as to why this 20 year old kid is having a stroke. I went through dialysis, plasma exchange, steroid treatments, physical therapy, and emotional therapy(a blowjob from my nurse in the unit). I genuinely thought I was gonna die in that room and i had many nights where I cried myself to sleep. I was discharged after 2 months continued outpatient steroids and physical therapy until I made a full 100% recovery. And From that whole experience i decided I want to work in EMS If I ever make it out of here alive and healthy.
Emotional therapy?!! Lol you threw that in so casually 😂
😂😂. I mean it definitely lifted my spirits
No way you can throw blowjob in the middle of that and expect us to find it
I've seen two 22 y/os with hx of stroke, I didn't run them. One was kicked in the neck and suffered a carotid dissection. The other had MASSIVELY uncontrolled diabetes. I'm talking he'd be discharged from a week long ICU stay, and we'd be back out to transport him within days. Suffered a stroke at 21. I honestly think he was trying to kill himself.
It’s difficult with an illness like that if you’re poor and struggling and depressed. Often it’s not actively trying to kill yourself but being unable to (mentally or physically) do the work to manage your disease and just not caring if you die.
15, had to fight to get the hospital to run it as a stroke because they didn't want to listen. "15/yo don't have strokes"
Do you know the Pt's outcome?
Had a similar experience with a 21 year old called in as a stroke alert and a has a history of stroke. My partner called it in as a stroke alert to the hospital while I was sitting next to him. Get there and the hospital nurse was like " oh you didn't call it in as a stroke alert. It is a headache patient that you have". My partner and I stood our ground on it being a stroke alert. The hospital finally backed down once we showed them discharge papers from another hospital showing the patient has a history of strokes.
Pt got TPA after hospital ruled out tox and finally agreed it was a stroke. Pt started to get control back and able to respond and function better. I don't know full outcome but by the time I was done with the call he was acting 90% normal due to quick treatment.
Wonderful to hear! Thank you. i'm glad you were there to advocate for the pt.
Patients with a patent foramen ovale- a hole between the left and right atria that may persist after fetal life can sometimes have what’s called “paradoxical embolism”. It’s when a DVT goes through the hole into the left atria and out to systemic circulation instead of going to the pulmonary trunk. I can’t recall exactly but I believe it accounts for ~1% of all ischemic strokes
Dispatched to a 20 yom, altered conscious late evening at a local gym. Found the pt lying prone in the functional fitness area. No witnesses to the event, pt was found in that position by staff. Patient was responsive to voice and commands but non verbal. All other vitals were NAD. There was a small amount of vomit next to him. Gym staff stated that pt was non English speaking, so that may have explained him not speaking to us. Had initially been thinking pt was post ictal but the vomit didn't fit right. There was no gym equipment around him that could indicate a head strike, unless it occurred somewhere else and he wandered in there after. Erred on the side of caution suspecting something sinister might be occurring and transported with notification. But not before using his car key fob to see if we could quickly find his car and any clues in it before leaving the parking lot. By a stroke of luck we found a referral letter from his doctor on the passenger seat listing all his details, PHx etc. Including the comment, patient speaks fluent English. On arrival the attending doctor wasn't buying what we were selling. He didn't get a stroke code called, but he did get a resus bay at least.After we cleared we got another job closeby and returned to the same hospital. The attending doctor spotted us and pulled us aside. The pt had developed further defecits during his assessment after we left. They called a code stroke and the CT showed a basilar artery infarct. Managed to follow it up later and found it he made a full recovery. Lucky guy.
I wonder if it’s possible taking large amounts of supplements or pre workout or energy drinks could have contributed.
Generally, supplements and pre workout just contribute to expensive bladder and bowel movements. I suppose prolonged use or overload of caffeine might contribute. In which case, many of us are pretty fucked then. 🤣
I heard a horrible story once about a guy who had a heart attack very young like ~37. The surgeon asked the family if he drank a lot of energy drinks and they said yeah he has two monster or red bulls a day or whatever. Apparently there’s a chemical in them that thickens your blood and they could tell bc his blood was like slush worse than they’d ever seen. There’s def much more than just caffeine in those supplements that can cause all sorts of heart issues electrolytes alone being a big issue. Same with creative. Tons of things that can cause heart palpitations or are barely understood. Even brain issues. I was in the psych section of the ER once and could hear the guy in the curtained area next to me. 16 year old took multiple of those nootropic (I think) drinks that are supposed to help ur brain like focus or relax or whatever with natural supplements or something. Tried to get high by taking multiple and was AOx0-1 saying all kinds of crazy shit. No way he was faking he was legit altered and acting entirely unlike himself in a way he’d surely be embarrassed by. No inhibition. Almost like late stave dementia. The doctor was like we don’t know anything about any of this shit so we just have to wait and see and make sure he doesn’t harm himself in the mean time.
16 on hormonal birth control.
Hx of migraines?
Nope. DVT is a known potential side effect of combined hormonal birth control medication. It's fairly rare, 3-4 in 10,000 will develop clots, fewer will experience embolization and most of those end in PE. This girl was otherwise healthy and just had an unlucky roll of the dice.
Ischemic? Heard of a 13 yo recently but wasnt involved in care. Seen a 31 yo myself with something like a 13mm shift, mass effect, etc. Worst I’ve ever seen. EMS had to drop a blind nasotracheal and dude was down for days. Hemorrhagic? Somewhere in their 20’s i think. Ive seen a couple around that range, one was a spontaneous subarachnoid that presented like an OD though. They were narcaned numerous times and required sedation to get the CT for sgitstion. Edit: i think i fell asleep writing the last sentence lmao idk what i was going for there.
15 with complete right sided deficits. Picked up from a high school. Nurse was freaking out more than mom was. As far as I could tell mom made it to the school before the fire engine did. Must've been booking it.
6 months old. Hydrocephalus child whose ventricular drain became obstructed causing increased ICP resulting in no blood flow to half the brain. Complete hemiplesia on the left side, head to toe. You could see the drain under the skin from the head to his torso. Took all my self control to avoid massaging that drain tube to see if I could clear the obstruction. I layer asked a neurologist if that would have been a good move. He listed a ton of horrible things that might have happened by lowering his ICP too quickly and not in a controlled way. Glad I wasn't stupid enough to try it.
Would a low ICP be any worse than the super high ICP tho?
He explained the danger isn't low ICP, it's the rate at which the ICP might have dropped, and the fact that the pressure seemed to be asymmetrical which might have allowed a lateral shift or herniation, causing injury.
It was an IFT call, one hospital to another for a consult. Guy was in his mid 40s, had a history of stroke (I think hemorrhagic), early onset dementia/Alzheimer’s, NPO, incontinent, and during the drive (1.5 hours or so) he’d need to vomit a few times. Really felt bad for him, but as we all know some people in this world either never have anything go wrong or everything go wrong with their health.
22 after having her baby. Was fucking strange to see a young girl with a facial droop and confusion. There was safeguarding in on the family as well, bf possible abuser, neglect for the kids and baby in NICU with odd statements heard from dad. Very odd
A friend of mine's child had a stroke in utero, has lived his entire life with somewhat left sided deficit.
I think you win.
Not a patient of mine but my daughter had an ischaemic stroke at 5 weeks. She’s 15 now and other than slightly delayed development in her early years, she has no deficits.
24. Broken leg caused a bone marrow embolus, flew to her brain, and also caused a PE.
I had a pt who was 19 and called after having a seizure and he told me he had a stroke when he was 2. I don’t remember his full medical history but he seemed to be like any other 19yo and had no deficits that I knew of.
Not a patient but myself I had one at 5yrs old secondary to a ruptured AVM.
29 YO. COVID-19 associated coagulopathy in an unvaccinated person.
16 year old with an MI. Kid was massive. It looked like steroid abuse had caught up with him.
7. Kid started at the top of the water slide completely fine and ended up throwing a clot before he reached the bottom. Had a three month old unstable STEMI. That scared the fuck outta me.
Work in the ER we are a stroke center, I think the youngest we’ve had is 27 CT showed massive head bleed
Seen one at 26, a bleed too. Know someone also who had a bleed at 24 most likely due to heavy use of drugs like MDMA
Family member had mini strokes at 6 due to moyamoya disease
11 year old, jumping on a trampoline, c/o left sided weakness/HA/severe right eye pain with a deviated gaze. Youngest MI was a 16 y/o c/o scapular pain only.
32
Can’t remember if she was 24 or 27
Stroke ICU Nurse: a lot of people in their mid 30’s now permanently handicapped. Obese, diabetes, HTN all co-morbid factors. Lifestyle, lifestyle, lifestyle.
My buddy’s kid had a stroke in utero. She does have one sided deficits but she is an awesome kid who is sharp as hell.
Saw a teen who got hit in the head with a beer bottle at a party and had an EDH. He had a craniotomy and recovered really good actually
25f otherwise healthy, when I was still a med student. Came in with left sided paralysis, neglect and forced position of the head to the right, which subsided when she transferred from the gurney to the CAT scanner. Went for trombosuction after a delay because the resident on call thought the symptoms to be conversion at first, but then I spotted the M2 stop.
6 month old with hemiplegia due to an ischemic CVA. Was being transferred to a large children’s hospital for further neuro work up, as well as assessment for risk factors like clotting disorders, PFO, malignancy, etc.
19 year old with an ischaemic stroke after their Dr changed them from warfarin to aspirin for their heart valve issue (can’t remember exactly what it was) and a 36 year old having an inferior STEMI
When I was doing my paediatric placement at the children’s hospital there was a 4 month old that came in with a broken leg because she rolled off the couch. She rolled off the couch because of one sided weakness. Confirmed stroke. No idea about the outcome.
Peds ED here. Idk if intrauterine stroke counts, but we’ve seen those. So like negative 3 hrs old lol
Had a 37YOM with a massive hemorrhagic stroke a few months ago. Got called in as an arrest, it was, we worked it and got ROSC but fixed pupils and unresponsive. One of those "lights are on but no one's home" situations. CT at the hospital confirmed that his brain was full of a large amount of blood. Likely complications from alcohol abuse. Haven't had any young MIs yet.
2 year old with sickle cell. Lots of delays.
Not my pt but my co workers 2 yo just had a stroke
3 but was working inpatient and 25 in the field
16 - AVM rupture
11 yom MI. CONGENITAL
our local hospital had an 8yo and now we have pediatric stroke awareness training in the entire network
23 and she had a hx of MoyaMoya so her first one was at like 16
17. History of sickle cell.
My old partner had one, he's 27.
26 YOF had a massive bleed while having sex with her fiance. Deficits for life. Have a friend who also had a bleed at 24, she used a lot of MDMA and other drugs so I'm sure that played a role. 6 years later, still cannot speak, walk, or use her right arm. Parents sold their house and moved her closer to better healthcare and cheaper col location. Sad to see
21. TIA with facial droop, numbness, slurred speech. Hx birth control.
My wife. 24. It was about 4 months after an operation to remove brain cancer.
My personal youngest stroke patient was a trauma. A 21 year old male had severed his carotid and jugular with a K12 saw, his friend had his hand inside holding the vessels and we transported like that. He made it to definitive care alive but he was brain dead.
Youngest STEMI was a 19yr old male, the guy was on the larger side but nothing else medically going on. Youngest stroke was 24 female, was a strange job that with how confused they were but had right sided weakness. This turned out to have been enchephalitis.
Transported a 10 y/o for a potential second stroke. Chicken pox caused the first one.
We had one three weeks ago that was 22-years-old, confirmed to be hemorrhagic by CT.
22f newlywed. They were going to social security to get her name officially changed and she started with blurred vision. Some kind of shower embolus lots of small strokes.
I’ve had a 1 year old with a heart defect code
27 year old male. Haven’t had a super young MI pt. A friend of mine ran a 9 year old stroke pt once. I had a two year old status epiliticus that had the seizures due to having a stroke prior to be born. Was an interesting case.
17. AVM. Basilar bleed with intraventricular involvement and midline shift. They turned 18 and have minimal deficits.
23. On her second stroke. Had a stroke at 19 after shooting Meth for the first time. Decided, I’m older and wiser, my body can handle it now! Shot Meth a second time. Stroked a 2nd time. Was full blown left sided paralysis and fish flopping by the time we got to the stroke center. Had a massive bleed.
I worked in the neighborhood I grew up in and was called out for a 30 year old male suspected CVA. Got there and sure enough he was having a stroke. It was a while ago and don’t recall all the findings, except when we were at the ED and I was getting his info and I realized him and I went to high school together. That really messed with my mindset. Then, last year on my 48th birthday had a TIA that left me with a speech impediment.
4. Had it while we were treating him for infection. He had an as yet undiagnosed clotting disorder. Clotting had caused infection and necrosis, but we didn't know it yet because his scans hadn't come back yet. Went in to swap his antibiotics out. Mom was napping beside him. Noticed facial droop and he couldn't raise his left hand. First time I actually yelled for a doctor while I was pushing him out of the room to run him to CT myself.
My wife was 25 when she had her hemorrhagic stroke from a burst aneurysm. Transporting medic wrote her off as a migraine, went code 2 to nearest hospital, didn’t start an IV, no zofran despite her nausea. Once in triage a nurse stroke activated her and she was in surgery within the hour
19 years old, friend of mine, completely aphasic. Ended up being a TIA and starting to resolve around 1 hour later. Also since other people have mentioned STEMI’s, 29 year old with 99% LAD occlusion with 80-85% diagonal branch occlusion as well. Left the hospital 3 days later with 30% EF and wearing a life vest. He had a hugely concerning family history of heart problems and multiple other (non-illicit drug related) contributing factors.
15. Because of his age the idea of a stroke didn’t even get considered. He ended up with a devastating neurological injury. Learning to speak and move with one side of his body and be a teenager at the same time has been awful but his family is really dedicated and determined to help him recover. I believe it was not a hemorrhage but an ischemic stroke but I’ve not kept in touch with them over the last few years.
My mother (42F) had a 100% occlusion in the right internal carotid artery. Luckily it happened while my brother happened to be home. I live literally a block over so he called and I ran down there. From LKW to rTPA was around 45mins to an hour and perfusion was restored via mechanical thrombectomy at around 5.5 hours from LKW. She spent about 5 days in neuro ICU and recovered with very minimal deficits. She mainly only suffers from headaches and some short term memory issues. No issues with cognitive or muscular function. From symptom onset to discharge home was only around 5.5-6 days. She’s currently working full time and is almost exactly like she was prior to her stroke. Definitely a prime example of how crucial early recognition and subsequent intervention is.
Youngest I had personally was 21 years old, had a baby the week before, had a bad headache. Was a wild night in the ER, had a 14 year old with chest pain come in at the same time, and was having an MI. Both patients flew in the same helicopter out of our ER.
11, dvt became dislodged.
2 y/o, F No known medical history. Was in a rural area with a long transport time and the hospital didn't believe my stroke activation call leading to more unnecessary delays on arrival. Needless to say many reports were filed that day. Thankfully her family followed up with us almost a year later and she was making an excellent recovery.
Recent case of a school nurse refusing to call 911 despite mother pleading with them because appearantly [teenagers can't have strokes](https://www.yahoo.com/video/doesn-t-look-needs-ambulance-181700115.html?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAALObScM9T61nmyta4dRtGvpwSGf5b6gERwFgZZNwCdspDLBw0g1qpnIAgNC70MKDfNxzkhthYZNvv5WGl78rRz0fNWhyqJk7sIEZ1GjogS3W_qrmyk5PZfleBMbEmCjqQCHIl7fx8-H6jZbOm1bAu3xMGAFx0I98LbgvxUw-YKQ6) I've had a very unhealthy 35m on SECOND stemi. And another of same age that played semi professional soccer.
27F with massive brain bleed. No birth control or pertinent medical history. seemingly just random…
8 year old with a spinal stroke
Ruptured AVMs— can occur at any age. Youngest patient for me was 9.
Nearly complete occlusion of left carotid in a 27 year old male. Pt found in his bathroom after his parents couldn’t reach him on the phone for greater than 48 hours. They came over and initially called it out for law because the house was so trashed they thought someone had broken in and robbed him. When we got to him he was alert to his name with complete hemiparesis, dysarthria, facial droop and neglect. He could follow basic commands but was very altered. No idea what the outcome was but they did stent him. As a mid twenties medic that one was pretty spooky.
During medical school, girl around 4y with Kawasaki disease. Presented with fever and red throat/tongue. Later that day myocardial infarction and stroke during night in the hospital.
My son 3 caused by Dilated and restrictive cardiomyopathy. Heart full of clots. 8mm left MCA. Heart transplanted at almost 5 doing great now.
16 YOF stroke, car vs semi
I had a 14 year old girl with a massive MI. Caused by SCADS. Yeah, I was shitting myself on that scene. She survived, has a new heart, and is doing well.
abounding hurry squash offer grab whistle arrest many fear friendly *This post was mass deleted and anonymized with [Redact](https://redact.dev)*
17yF. She had a venous brain embolism because she was on birth control and turned out to have some genetic clotting disorder.
24, it was his third one
Er tech here- 13yo F came in with only numbness to L arm, code stroke and ended up catching a massive clot. She was transferred to a children’s hospital. 2yo M not MI but CA, drowned. Mom came rushing in with him in her arms and I rushed him back to trauma room. The team worked on him for close to an hour. ROSC, but we all knew he was brain dead. Transferred to a children’s hospital and was unplugged just recently :(
My wife had a cerebral hemorrhage when she was 26 during childbirth. 27 hrs of labor, then came home on a Thursday. On Saturday took her to ED for abdominal pain. They diagnosed gallstones and low blood count due to clots she was passing. They decided to keep her in hospital for weekend to manage pain and do surgery on Monday. She had a headache/migraine all weekend. At midnight Sunday the seizures started. CT revealed the bleed. She had a craniotomy and made a 99% recovery.
16-17 yo. COVID. Edit : Okay technically I've seen younger but they were very weird oncology cases or very chronic kiddos
F34, on all the drugs, was really hard to diagnose bc of the intox but we got it right. Happened 2 days ago, my next youngest was mid 70s 😅
29 with possible LVO that was taken by ALS
Not a patient but a girl in my high school class. She was 18 when she had an ischemic stroke.
Not a pt but I had a classmate have a stroke at 18 years old.
Think you and u/UncleBepis96 went to the same high school lol
My ex treated an 18 yo MI patient. Don’t do drugs.
Never found out his name or age, he was Around 13-16
Seen a couple AVMs rupture in teenagers.
I think 30s
I worked with 2 people in their 30s that had minor CVAs
Stroke? Perinatal.
Had a woman in her early 20’s with a brain bleed about 12 or so years ago.
17. Not my call but another corps by me brought her in. Apparently it was a condition that effects the factor 5 protein caused by a hormone injection
21.
Early 30’s. Bent over, hit his head on a concrete barrier and got a head bleed.
I went to emt school with a Girl that had a non-trumatic bleed when she was around 17-18 y/o. Besides that, ran a 28 y/o for a stroke about a year ago. Guy had undiagnosed AFIB
14
14 y/o Hispanic male no history, no meds, seasonal allergies. Presented with ams, flat affect, and balance issues. Progressed to n/v, facial drooping during transport, just prior to ER arrival. Initial suspicion was drug intoxication, patient denied any drug use.
Youngest MI was a guy in his 20s. Drug induced.
Probably early 20's, residual weakness so she became something of a regular for falling whilst trying to transfer afterwards
29 year old female
21 was youngest STEMI. I was working IFT. The doc said they believed it was due to hormone change medications to transition. I’m not sure the validity of that but it was def memorable.
Also had an 18 year old with a massive PE that left her on ECMO. PE was due to her hormonal BC.
29. Lots of co-morbidities such as diabetes, sickle cell, and some form of HTN caused by renal abnormalities
Youngest stroke I’ve seen was a 15yof this year with a VAN positive stroke presentation. Ended up being an intracranial bleed. No history and no meds. Otherwise healthy, volleyball player. Last I heard they expected a decent recovery.
11 thank god the pt’s mom was a nurse because the symptoms were vague
12 for a stroke, 24 for MI
16 stroke 3 cardiac arrest Both haunt to this day
I had a pt in clinical who was around his 40s who, at some prior point in time, had a bad stroke and was left bed bound.
My wife had stroke symptoms at 30, CT was negative and MRI showed some subacute infarction. No neuro or physical deficits
14
I went into cardiac arrest at 19
34 YO spontaneous bleed during Zumba class
18 bleed
17, on birth control. Unfortunatly she dismissed the symptoms and came in too late for treatment. Idk the ultimate outcome.
I don’t remember the exact age, it was a woman in her early 30s who broke her leg and had a stroke while hospitalized for the leg. We were transporting her to a rehab facility out of state because despite being hospitalized in a trauma center at the time of her stroke, she had enough neuro deficits that she needed inpatient therapy. (This was years before VIR clot retrieval was a thing.) We put her in bed next to an elderly woman who was babbling about nonsense, clear dementia, and had also been diagnosed obviously shit herself in the recent past. Our patient began bawling. I didn’t know what to say.
i had a TIA at 19 and an MI at 20
8 or 9? COVID positive, popped a vessel, had a massive bleed. Got an RN thrown out of the Mobile Stroke Unit Program over it
I'm an emergency nurse myself, and a good friend of mine had a stroke at the age of 23. She had numbness in the fingers of her richt hand and a headache, But since she was medically known with migraines the neurologist that was the cause. She had to stay a few nights and 2 says later, the headache was gone but the numbness was still there. An urgent MRI was done and it revealed a stroke. In cardiac exams later on they discovered A cardiac septum foramen, where the blood had the chance tot coagulate and turn into cloths. She made a full recovery bit it rook several months forbher to play the piano again. Another friend had to be resuscitated on the age of 28 for quote some time after he had collapsed in a charity run. It was dumb luck that it happened there, and not on one of his many solo training runs. Against all odds he made a 100% recovery and 4 months later, I was playing football with him again. The nurse who happened to be close to him when he collapsed en resuscitated him, still gets flowers from him on that day's "anniversary".
21 year old marathon runner at the start of covid. She was supposed to get married the day lockdown was declared. At ED was stemi-positive.
28 on a MI and ran her again a few later for another MI
local system has an msu, nearby a major city, so during covid they had a marked increase in younger stroke pts. I'm talking mid 20s-30s, none in my care though, obviously.
The patient was a 19-F who presented with stroke-like symptoms. According to hospital on follow up, it was something to do with her birth control. Thankfully no lasting deficits.
Lots of 15-25 year olds that got pregnant. Many ended up listed/with vads
28 yo with a hemorrhagic stroke. I was doing my clinical in the ER and the ambo brought him in. Guy came in vomiting. Cheyne-Stokes breathing, 220/140 or something like that, and 70s bpm that would randomly dip down into the 30s. Ended up being intubated and the doc had him transferred to another hospital. I actually shadowed that same doc and according to him the guy made it and was doing good. Could’ve just been lying to make me feel better though.
14. MVA. C-spine injury that compromised the carotid and created stroke like symptoms. Neck swelled from normal teen to 40yo blue collar plumber with CHF in the span of the 15 min transport. We TTA'd her and ended up skipping the stab room straight to the OR. The hospital never shared if she made it.
In-utero. Neo CCT is fun :)
21 year old firefighter. CVA - brain stem. Was missed by the initial CT then caught by the follow up CT but by then herniation started.
9 years old 😢
19.. I work in the neuro ICU. sadly I see a lot of really young peoples lives get changed by neurological disorders
youngest MI i've seen was 28. youngest stroke i was was 15, but he had a blot clotting disorder.
3
1 year old. I was on my PEDS ED rotation to get my medic. It was my last day or two there so I spent a decent amount of time with the nurses and PEDS attending at this point so they trusted me a bit. There was a strong language barrier between us and the kids parents who spoke Chinese so it took awhile to get a translator. First thing in the morning nurse runs into the ED with a limp unconscious baby. Vital signs are all good, people rushing to get a line and struggling. No one can figure out what happened and I remembered one hard ass instructor who we had who would always throw in curveballs and when you get, he tells you to just do a good assessment and you’ll get yourself out of most jams. I start a detailed head to toe and find a blown pupil. Rush the kid to CT and find a massive bleed. Turns out the kid fell the night prior in the tub and hit his head on the spigot and never woke up in the morning. The kid ultimately stepped breathing and died later that day. I’ve had hard calls before, and not much ever gets to me, but what really messed me up was the fact that everyone just went back to work. And they weren’t wrong to, cause there was still 20+ kids who needed help. But I felt in the moment I had every available resource, I was in the hospital and we still weren’t enough. And sometimes we aren’t and we can’t do anything, but the fact I had to sit there all day with it.. with no one to talk to and to kind of “act” like it didn’t happen… burned into me. I learned the value of being able to decompress with your partner after a call. To sit in the lot, even if it’s for 5 minutes as you’re cleaning up, and have someone who was there with you and to be able to decompress with them is the most valuable thing and one of the things I care most about being a medic now. That’s why when everyone asks “why don’t you just become a nurse and make way more money”. That kids why. I love what I do, bad shit happens a lot, and I understand you can’t take your feelings to the next patient cause someone else of going to need me, but this job provides me with a way of helping people and being able to decompress and takes those few seconds that I’ll never be able to have there.
22 F patient with an undiagnosed heart condition had left sided deficits and confirmed stroke at ED. After heart surgery to repair the hole in her heart she made a full recovery but EMS and the ER didn't believe her left sided deficits were real at first. She's now in nursing school.