2020 CPR EKG/ECG 
Don't Forget the Bubbles
JUNE 30, 2023
She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. You request a 12 lead ECG and repeat a blood gas, asking for it to be run on the PICU analyser. Your trusted nurse hands you the ECG: Paediatric ECG interpretation has never been your strong suit.
Dr. Smith's ECG Blog
APRIL 30, 2024
Bystander CPR. Here is the only prehospital 12-lead: Sinus tachycardia, somewhat wide QRS, Ischemia Here is the first ED ECG: What is the rhythm here? This ECG is pathognomonic of hyperkalemia , with wide QRS, very SHARPLY peaked T-waves, flat ST segments, RBBB pattern and large R-wave in aVR. Medics found patient in PEA arrest.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Dr. Smith's ECG Blog
JULY 14, 2023
Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. Finally, head-up CPR (which was not used here), makes for better resuscitation.
Dr. Smith's ECG Blog
MAY 19, 2020
ECMO Flow was achieved after approximately 1 hour of high quality CPR. A followup ECG was recorded 2 days later: No definite evidence of infarction. As per Dr. Smith — “ S hark F in” m orphology was noted on the initial monitoring strip, and initial 12-lead ECG. Figure-1: The initial 12-lead ECG in this case ( See text ).
ACEP Now
DECEMBER 6, 2024
During initial assessment, an ECG was obtained and revealed ST-segment elevation (STE) in the inferior leads with ST depression anteriorly. Initial ECG demonstrating inferolateral ST segment elevation and anteroseptal depression, just prior to cardiac arrest. The ECG showed ST-segment elevation without obstructive coronary disease.
Dr. Smith's ECG Blog
APRIL 29, 2020
CPR was started immediately. I was texted this ECG in real time, but it turns out to actually be the 2nd one recorded in the ED. Just as interesting is EKG 1, 24 minutes before the first: What do you think here? Below, I post 4 more examples of ECGs that were recorded from patients who had Torsades. Is this inferior MI?
Dr. Smith's ECG Blog
NOVEMBER 12, 2020
He had the following EKG recorded: Low voltage, suggests effusion. He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. This is the ECG on V-V ECMO: Very little STE He had a lot of troponins measured. He was moderately hypoxic.
Expert insights. Personalized for you.
145 
Let's personalize your content