2017 EKG/ECG Hyperthermia / Hypothermia 
Dr. Smith's ECG Blog
OCTOBER 12, 2024
EKG on arrival to the ED is shown below: What do you think? ng/mL (consistent with prior baseline), and a repeat EKG was obtained 1 hour after the initial EKG. limb lead reversal is now resolved) Unfortunately, QOH V1 got tricked by this second ECG! 2) There was no terminal QRS distortion on these ECGs.
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?
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Dr. Smith's ECG Blog
JULY 22, 2023
An ECG was performed in the ED at 1554: Original image unavailable, this is the only recorded scanned ECG available. In a patient with syncope and fever, this ECG looks more like Brugada. Smith comment: the ECG in question could be due to Brugada, even though there is a change from baseline. PM Cardio digitized version.
RebelEM
MARCH 30, 2023
However, there are no clear guidelines for management in post-cardiac arrest patients without ST-segment elevations on ECG. Clinical Question : In patients who suffer an OHCA without ST-segment elevation on the post-resuscitation ECG, will early coronary angiogram (CAG) vs. delayed CAG improve outcomes? Bougouin, W., Varenne, O.,
Northwestern EM Blog
JANUARY 24, 2022
Hypocalcemia can be hinted at through history or by hints such as a prolonged QTc on an ECG. While the diagnosis of hypothyroidism can be delayed by lab results, clues to the diagnosis include thyroidectomy scar, non-pitting edema of the extremities, macroglossia, altered mental status, hypoglycemia and hypothermia. 2019; 155(1): 242.
EMDocs
DECEMBER 16, 2023
A 12-lead EKG shows sinus tachycardia but is otherwise normal. Broad-spectrum antibiotics (A) for septic shock are not inappropriate given the hyperthermia, tachycardia, and hypotension. The patient is agitated, not oriented, and becoming combative with ED staff. 1 Fever is usually < 40C. 1 Fever is usually < 40C.
Dr. Smith's ECG Blog
DECEMBER 5, 2019
As part of the workup, she underwent an ECG. Drug toxicity , especially diphenhydramine , which has sodium channel blocking effects, and also anticholinergic effects which may result in sinus tachycardia, hyperthermia, delirium, and dry skin. We repeated the ECG: Brugada pattern is mostly resolved. Hyperkalemia 2.
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