Dr. Smith's ECG Blog

SEPTEMBER 27, 2023

An ECG was recorded immediately and is shown below. How do you interpret the ECG? ECG#1 There is a regular tachycardia with a ventricular rate of about 180 bpm. After cardioversion, if successful, you can take a few moments to assess the 12-lead in more detail and assess the post conversion ECG. ECG#2 What do you think?

EKG/ECG 133

EKG/ECG Resuscitation Academics EMS 133

Taming the SRU

NOVEMBER 29, 2023

Lumbar puncture with xanthochromia or > 2000 RBCs in tube 4 should increase suspicion for SAH. Complex trauma resuscitations Blunt cardiac injury represents a range of conditions from clinically silent to fatal injuries. Workup with a negative troponin and EKG reliably rules out BCI.

Stroke 53

Stroke EKG/ECG Resuscitation Shock 53

EMDocs

MAY 15, 2024

ECG: Evaluate for ischemia, right heart strain. Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. National Acute Chest Syndrome Study Group [published correction appears in N Engl J Med 2000 Sep 14;343(11):824]. Overestimates arterial oxygen saturation. times maintenance. N Engl J Med.

Blood Transfusions 103

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 103

EMDocs

MAY 28, 2024

ECG: Evaluate for ischemia, right heart strain. Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. National Acute Chest Syndrome Study Group [published correction appears in N Engl J Med 2000 Sep 14;343(11):824]. Overestimates arterial oxygen saturation. times maintenance. N Engl J Med.

Blood Transfusions 97

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 97

Don't Forget the Bubbles

OCTOBER 7, 2024

Suspected low voltage injuries (<1000v) should still be approached with an A-E assessment, but if 12 lead ECG and urinalysis are normal, it’s reasonable to discharge the patient. If the ECG is abnormal, the patient should be managed as if exposed to a high voltage (>1000v). Resuscitation. 2000 Aug;46(1–3).

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

EMDocs

SEPTEMBER 25, 2023

Resuscitation 2013; 84(11): 1500 – 4. Chest 2000; 117(1): 260 – 7. 2000 Jan-Mar;4(1):14-8. Notable Physical Exam: General: Tripoding, severe respiratory distress. Incidence and factors associated with cardiac arrest complicating emergency airway management. PMID: 23911630 Kim WY et al. PLoS One 2014; 9(11): e112779.

Emergency Department 91

Emergency Department Soft Tissue Injuries Operations Airway Management 91

Pediatric Emergency Playbook

JUNE 1, 2017

Electrocardiography (ECG) should be performed on any patient with significant blunt chest injury. A negative ECG is highly consistent with no significant blunt myocardial injury. Any patient with a new abnormality on ECG (dysrhythmia, heart block, or signs of ischemia) should be admitted for continuous ECG monitoring.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52