2022, EKG/ECG and Hyperthermia / Hypothermia

2022

EKG/ECG

Hyperthermia / Hypothermia

What is this ECG finding? Do you understand it before you hear the clinical context?

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

Written by Pendell Meyers First try to interpret this ECG with no clinical context: The ECG shows an irregularly irregular rhythm, therefore almost certainly atrial fibrillation. These are Osborn waves usually associated with hypothermia. C), with Cardiac Echo -- A Pathognomonic ECG. Is there a long QT?

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EKG/ECG Wellness

SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)?

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. You are tidying your things […] The post SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)?

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Hospitals Outcomes Documentation/Coding

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Trending Sources

Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

JANUARY 21, 2023

ECG met STEMI criteria and was labeled STEMI by computer interpretation. What is your ECG interpretation, and would you activate the cath lab? This ECG shows a sinus bradycardia with a normal conduction pattern (normal PR, normal QRS, and normal QTc), normal axis, normal R-wave progression, normal voltages. What do you think?

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures

Grand Rounds Recap 4.5.23

Taming the SRU

APRIL 13, 2023

stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e. stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures

EM@3AM: Hyperthermia

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.

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia EMS Stroke Seizures

emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

MAY 28, 2024

ECG: Evaluate for ischemia, right heart strain. Hypothermia, hypotension, and vasoconstriction may affect pulse oximetry reading, which is based on light absorption from fingertip blood flow. 2022 Aug;58:235-244. Epub 2022 Jun 11. Overestimates arterial oxygen saturation. Up to 3x less accurate in black patients.

Blood Transfusions

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds

Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

DECEMBER 19, 2023

ECG: to monitor T wave changes due to hypokalaemia. ECG features of Hypokalaemia: Increased P wave amplitude (peaked P waves) Prolonged PR interval Widespread ST depression T wave flattening or inversion Prominent U waves (most noticeable in the precordial leads) Figure 2 : ECG of a patient with serum K+ of 1.9 Marcdante, R.

Dehydration

Dehydration Fluid Resuscitation Shock Resuscitation

A man in his 70s with weakness and syncope

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.

EKG/ECG

EKG/ECG Hyperthermia / Hypothermia Documentation/Coding Wellness

Hypothermia at 18 Celsius in V Fib arrest: CPR, then ECMO rewarming, for 3 hours, then Defib with ROSC. Interpret the ECG.

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

A 12-lead ECG was recorded: There is sinus rhythm with RBBB and right axis deviation. Guide to this image: 30 minutes later, at 31 C, this ECG was recorded: The RBBB has resolved. Osborn waves persist The next day, this ECG was recorded at a normal temperature: Peak hs troponin I was 650 ng/L Day 1 echo ECMO flow 2.9

Hyperthermia / Hypothermia

Hyperthermia / Hypothermia CPR EKG/ECG Resuscitation

Another deadly and confusing ECG. Are you still one of the many people who will be fooled by this ECG, or do you recognize it instantly?

Dr. Smith's ECG Blog

MAY 5, 2022

Here is the initial ED ECG: What do you think? The ECG shows peaked T waves, QRS widening, a coved-type ST segment with inverted T waves most prominent in V1 and V2 consistent with Brugada pattern. They recommended repeating his ECG and awaiting troponin since the patient did not have any chest pain. Creatinine elevated at 3.09

EKG/ECG

EKG/ECG Fluid Resuscitation EMS Shock

The EMERGE Trial: Emergency vs Delayed Catheterization in Survivors of Out-of-Hospital Cardiac Arrest

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? Published online June 08, 2022.

Hospitals

Hospitals Outcomes EKG/ECG Resuscitation

Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L?

Dr. Smith's ECG Blog

NOVEMBER 25, 2022

As a routine part of his critical trauma evaluation, he had an ECG recorded: There is an rSR" in V1 and V2, with downsloping ST segment and inverted T-wave which is very similar to a Brugada Type 1 phenocopy. On the other hand, the RV lies directly under leads V1 and V2; this makes pneumothorax less likely as an etiology of the abnormal ECG.

EKG/ECG

EKG/ECG Fractures Hyperthermia / Hypothermia Wellness

Vasopressor Nonresponse

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. 2022, Jan 24).

Anaphylaxis

Anaphylaxis Shock Sepsis Resuscitation

Emergency Care Today

What is this ECG finding? Do you understand it before you hear the clinical context?

SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)?

Trending Sources

Unconscious + STEMI criteria: activate the cath lab?

Grand Rounds Recap 4.5.23

EM@3AM: Hyperthermia

emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

Diabetic Ketoacidosis in Paediatrics

A man in his 70s with weakness and syncope

Hypothermia at 18 Celsius in V Fib arrest: CPR, then ECMO rewarming, for 3 hours, then Defib with ROSC. Interpret the ECG.

Another deadly and confusing ECG. Are you still one of the many people who will be fooled by this ECG, or do you recognize it instantly?

The EMERGE Trial: Emergency vs Delayed Catheterization in Survivors of Out-of-Hospital Cardiac Arrest

Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L?

Vasopressor Nonresponse

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