Remove 2022 Remove EKG/ECG Remove Poisoning
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ECG Blog #436 — Bigeminy or Alternans?

Ken Grauer, MD

The ECG in Figure-1 — was obtained from an older man with known coronary disease. He developed cardiac arrest shortly after the ECG in Figure-1 was recorded. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? QUESTIONS: How would YOU interpret the ECG in Figure-1 ? Figure-1: The initial ECG in today's case. (

EKG/ECG 400
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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

What agent would most likely be responsible for these ECG findings? This EKG shows a wide complex (QRS 240 msec), irregular rhythm with left bundle branch block morphology at a rate slower than expected (90 bpm) for a ventricular arrhythmia such as ventricular tachycardia. Poisoning by sodium channel blocking agents.

Shock 73
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Case Report: A Patient With a Fishy Story

ACEP Now

An EKG was performed on arrival, showing no abnormalities. Ciguatera fish poisoning, a foodborne illness caused by consuming reef fish contaminated with ciguatoxins, is characterized by a combination of gastrointestinal, neurological, and cardiovascular symptoms. 4 Treatment of ciguatera poisoning is supportive and symptomatic.

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Snake Bites and Children

Pediatric EM Morsels

Ahmed 2008, Meyers 2022) Of course, treat any other systemic symptoms (like respiratory failure, hypotension) as you typically would. If you are managing a snake bite from a snake that does not typically reside in the U.S., please utilize other resources and local Toxicology experts for help with management protocols.

CDC 130
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ToxCard: Benzonatate

EMDocs

Her electrocardiogram (ECG) showed atrial fibrillation which was cardioverted to sinus rhythm. 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, Impact of a drug safety communication on the severity of benzonatate exposures reported to poison centers.

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Beyond the Burns: Toxic House Fire Gases

Northwestern EM Blog

The post goes into detail on the pathophysiology, signs, symptoms, and diagnosis of both carbon monoxide and cyanide poisonings, so this commentary will focus on the clinical approach. An elevated lactic acid is a surrogate for cyanide poisoning, specifically a level of 8-10 mmol/L or greater is sensitive and should prompt intervention.

Burns 52
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Is there Terminal QRS Distortion?

Dr. Smith's ECG Blog

This ECG has ST Elevation in multiple leads. This ECG is interesting because it mimics TQRSD. This is a normal ECG. This patient had CO poisoning but did not have myocardial injury or OMI. This patient had CO poisoning but did not have myocardial injury or OMI. Is it normal STE? Or is it ischemic STE? Anterior OMI?

EKG/ECG 52