Dr. Smith's ECG Blog

JULY 21, 2024

The below ECG was recorded. The ECG shows obvious STEMI(+) OMI due to probable proximal LAD occlusion. This ECG does not have the typical ST-vector of an LAD occlusion. See below for Ken Grauer Comment on the initial ECG: == On arrival, another ECG was recorded: There appears to have been quite a bit of spontaneous reperfusion!

EKG/ECG 131

EKG/ECG Shock Hospitals Sepsis 131

Dr. Smith's ECG Blog

JANUARY 30, 2019

An initial EKG was obtained: Computer read: sinus tachycardia, early acute anterior infarct. Here is her prior EKG: When compared to the old EKG – Q waves present before, TWI in aVR present before, but all other changes are new. What is the differential for this EKG? T wave inversion III, aVR, TWF in aVF. Is this an OMI?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Wellness Documentation/Coding 52

Northwestern EM Blog

MARCH 1, 2025

Remove ECG leads and patches. Reattach EKG leads to back. Document thorough skin assessment every nursing shift, and inspect weight-bearing ventral surfaces. 2017 Jan;151(1):215-224. Place a new bed sheet on the side of the bed that the patient will face when in this lateral decubitus position. Suction as needed.

Emergency Department 52

Emergency Department Fractures EKG/ECG Wellness 52

Dr. Smith's ECG Blog

JULY 27, 2023

He had a prehospital ECG that was worrisome to the medics, so they called me to see him at the door. His prehospital ECG showed "inferior" ST depression and high voltage, with tachycardia. His prehospital ECG showed "inferior" ST depression and high voltage, with tachycardia. and had dilated pupils. He was alert and oriented.

EKG/ECG 52

EKG/ECG Documentation/Coding Wellness 52

RebelEM

MARCH 9, 2023

Osna 2017) Alcohol can contribute to pancreatitis, CKD, epilepsy, and countless other conditions. Sanvisens 2017) Consideration of WE when conducting a physical exam can be lifesaving. Document at each reassessment and always have a low threshold to add on a CTH or labs if the patient is not progressing appropriately.

Psychiatric 52

Psychiatric Emergency Department Fractures Documentation/Coding 52

Dr. Smith's ECG Blog

DECEMBER 27, 2018

This ECG comes from Pierre Taboulet ( [link] /)( [link] ) an ECG whiz who codes a lot of ECGs for Cardiologs' Artificial Intelligence Deep Neural Network algorithm ( [link] ). This ECG is displayed on the Cardiologs platform. My immediate impression of the ECG was LVH. JACC 69(23):1694-1703; April 4, 2017.

EKG/ECG 40

EKG/ECG Documentation/Coding Emergency Department Wellness 40

RebelEM

MARCH 2, 2023

2017 ESC Guidelines for the Management of Acute Myocardial Infarction in Patients Presenting with ST-Segment Elevation of the European Society of Cardiology (ESC). Low O2 protocol: 3.1% aOR 0.96, 95% CI 0.86 4159 patients (10% of total population) had STEMI 30d Mortality: High O2 protocol: 8.8% Low O2 protocol: 10.6% aOR 0.78; 95% CI 0.63

Outcomes 52

Outcomes EMS EKG/ECG Hospitals 52

ACEP Now

MARCH 14, 2024

1,4-5 Thus, an electrocardiogram (ECG) and cardiac monitoring should be performed for unstable, electrical injury patients. 7 Thus, an ECG is recommended for all electrical injuries. His ECG was unremarkable. Documentation with coronary arteriography within 12 1/2 hours of the onset of symptoms in two cases (three episodes).

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Given her reported chest pain, shortness of breath, and syncope, an ECG was quickly obtained: What do you think? This patient was reported to have distant heart sounds but was not hypotensive and did not have JVD according to documentation. 2017 Nov;35(4):525-537. For clarity in Figure-1 — I've reproduced her initial ECG.

EKG/ECG 40

EKG/ECG Ultrasounds Documentation/Coding COPD 40

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

EB Medicine

JULY 8, 2019

Nachi: Taken all together, the rising rates of obesity and the rising success and availability of bariatric procedures has led to an increased number of bariatric procedures, with 228,000 performed in the US in 2017. In 2017, these were performed 60%, 18%, and 3% of the time.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EB Medicine

JUNE 6, 2019

Nachi: And finally let’s touch upon the ekg and ACS. In patients over 40 with upper abdominal pain, an EKG and troponin should always be considered. Nachi: Few things are more important prior to discharge of an abdominal pain patient than documenting repeat exams and a PO trial. An EKG and troponin should be considered.

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Dr. Smith's ECG Blog

JANUARY 17, 2024

Patient 1 (ECG on the left) was a 45 year-old male, and patient 2 (ECG is on the right) was a 70 year-old male. Using T wave amplitude, can you tell which ECG has hyperacute T waves? What other parts of the ECG would you like to see, and how will you use this to refine your interpretation?

EKG/ECG 118

EKG/ECG Documentation/Coding Emergency Department Wellness 118

Dr. Smith's ECG Blog

APRIL 8, 2015

Abnormal ECG – looks for cardiac syncope. Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. If no previous ECG was available, ECG was classified as abnormal if any abnormality was present. orthostatic vitals b.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Dr. Smith's ECG Blog

DECEMBER 5, 2019

As part of the workup, she underwent an ECG. Thus, Brugada is the likely diagnosis _ A very nice explanation of this is given in the document quoted below on current ECG criteria for Brugada pattern. We repeated the ECG: Brugada pattern is mostly resolved. Is this Type 2 Brugada syndrome/ECG pattern?

EKG/ECG 52

EKG/ECG Hyperthermia / Hypothermia Seizures Documentation/Coding 52

Dr. Smith's ECG Blog

MARCH 25, 2025

High enough that a bland ECG is not immediately reassuring. ECG 1 What do you think? To me, this ECG is not diagnostic. But if you call every ECG that looks like this OMI, you are going to have a lot of false positives. No further ECGs were obtained for the rest of the day. in absolute terms!

EKG/ECG 63

EKG/ECG Shock Documentation/Coding Hospitals 63

Taming the SRU

FEBRUARY 3, 2025

Initial work up when suspicious of this process should include ECG, chest x-ray, urinalysis, and the following labs: CBC, CMP, magnesium, phosphate, calcium, uric acid, VBG (for pH), and lactate dehydrogenase (10). Therefore, it should only be administered in life-threatening arrhythmia and not simply for peaked t waves on ECG (2,20).

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56