2019 Documentation/Coding EKG/ECG 
Mind The Bleep
FEBRUARY 2, 2025
Assessment A code of practice for confirmation of death exists, however, each hospital may have its own protocols which you must familiarise yourself with. If there are family are present, greet them and offer your condolences.
Ken Grauer, MD
JULY 29, 2023
The ECG in Figure-1 was obtained from an 18-year old woman — who moments before been resuscitated from out-of-hospital cardiac arrest. How would YOU interpret her post-resuscitation ECG? Does this ECG in Figure-1 provide clue(s) to the etiology of this patient's cardiac arrest? QUESTIONS: In light of the above clinical history.
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Dr. Smith's ECG Blog
JANUARY 2, 2025
She had an ECG recorded: This is left bundle branch block (LBBB), with appropriate proportional discordance. In the middle of the night, a "code" was called, and multiple rhythms like this were recorded. Here is one of the strips This is clearly polymorphic VT and probably torsade de pointes Subsequent ECGs. J Am Coll Cardiol.
Ken Grauer, MD
FEBRUARY 28, 2023
The ECG and long lead II rhythm strip in Figure-1 — was obtained from a COVID positive patient with persistent tachycardia not responding to Diltiazem. Figure-1: The initial ECG — obtained from a patient with persistent tachycardia. ( To improve visualization — I've digitized the original ECG using PMcardio ).
Dr. Smith's ECG Blog
OCTOBER 18, 2023
All initial ECGs were labeled ‘normal’ or ‘otherwise normal’ by the computer interpretation, and below are the ECGs with the final cardiology interpretation. 1-3] But these studies were very short duration and used cardiology interpretation of ECGs or emergent angiography rather than patient outcomes.
Dr. Smith's ECG Blog
MARCH 4, 2024
I have often written about how an ECG interpreted as "normal" by a conventional algorithm may well be manifesting OMI, or even long QT or hyperkalemia. Shifa Karim and Gabe Keller helped with a project to assess all these ECGs with the Queen of Hearts. The ECG told the story. I wanted to show some of the cases here.
Dr. Smith's ECG Blog
OCTOBER 12, 2024
EKG on arrival to the ED is shown below: What do you think? The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration. limb lead reversal is now resolved) Unfortunately, QOH V1 got tricked by this second ECG!
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