2022 CPR EKG/ECG 
Dr. Smith's ECG Blog
JULY 9, 2024
His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. Here is his ECG after stabilization of vitals (at least 30 minutes since sustained ROSC). The ECG is diagnostic of acute LAD occlusion MI. Post angiogram ECG The patient was eventually able to be weaned off of ECMO and impella.
Dr. Smith's ECG Blog
SEPTEMBER 11, 2024
Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. Here is the ED ECG (a photo of the paper printout) What do you think? Instead — the "syncopal episode" prompted the patient's son to start CPR, and was associated with persistent hypotension.
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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
NOVEMBER 23, 2022
Here is his triage ECG: PM Cardio version: With no other information at all, I sent this ECG to Dr. Smith, who replied: "I think it is real. In other words, this ECG shows sinus rhythm, normal QRS complex, and: --Inferior OMI: STE in III, hyperacute T waves in lead III, reciprocal STD and TWI in aVL. STD in V4-5 too."
The Skeptics' Guide to EM
FEBRUARY 3, 2023
September 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You are working an overnight shift at a small rural hospital. The nurses started CPR immediately and place pads before you even arrived. A post-arrest ECG doesn’t show any signs of STEMI.
Dr. Smith's ECG Blog
JUNE 23, 2024
His daughter immediately started CPR and another family member called EMS. Here is his presenting ECG: ECG 1, t = 0 What do you think? His transfer packet included notes, labs, cath report, and ECG reports, but no actual ECG images. Smith's ECG Blog. He did not have access to ECG 1.
Dr. Smith's ECG Blog
OCTOBER 10, 2022
CPR was initiated immediately. Initial ROSC was obtained, during which this ECG was obtained: What do you think? I sent it to 2 of my ECG nerd colleagues with no clinical information whatsoever, who instantly said: "Looks like afib with subendocardial ischemia and right heart strain pattern." "I
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