Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

Below is the presentation ECG. The above ECG shows sinus rhythm. While on telemetry monitoring he suffered cardiac arrest and was resuscitated. What ECG finding may have contributed to (or precipitated) the cardiac arrest? After resuscitation and defibrillation , there were no more episodes of TdP.

EKG/ECG 69

EKG/ECG Resuscitation Academics Operations 69

PHEM Cast

APRIL 10, 2016

It is worth noting, that with “Sepsis 3” many of these terms will become out-of-date – but validation work is required… The Rivers’ paper can be accessed here: [link] It was a single centre study which compared standard care with protocolised resuscitation packaged together as early goal-directed therapy (EGDT).

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Sepsis Fluid Resuscitation Resuscitation Emergency Department 52

Dr. Smith's ECG Blog

NOVEMBER 11, 2022

A 12 lead ECG was obtained by EMS and is shown below: What do you think? The ECG is diagnostic of LAD occlusion (or even left main occlusion possibly), with the classic pattern of RBBB and LAFB with huge concordant STE in V1-V2, I, and aVL, with reciprocal depression in most other leads (and/or a component of subendocardial ischemia pattern).

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EKG/ECG Shock EMS Documentation/Coding 52

Dr. Smith's ECG Blog

NOVEMBER 26, 2018

Here is his initial ECG: What do you think? When the team saw this ECG, we obviously noticed the large STE in the inferior leads, with STD in V1-V5, I, and aVL, and STE in V6. Back to the interpretation of the ECG: Does the rhythm matter to you in this case? What will you do for this patient? How many problems does he have?

EKG/ECG 52

EKG/ECG Wellness Administration Academics 52

Mind The Bleep

JULY 8, 2023

Many questions were repeated, and on some, the resources were not included (“look at this ECG” but no ECG was visible). 150 ECG cases by Hampton, Adlam & Hampton- You are guaranteed to get at least a couple of ECG questions in the exam, and it’s difficult to get sufficient practice on ECGs.

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EKG/ECG Wellness Hyperthermia / Hypothermia Poisoning 52

EMDocs

SEPTEMBER 25, 2023

Resuscitation 2013; 84(11): 1500 – 4. ” Academic Emergency Medicine 20.1 Notable Physical Exam: General: Tripoding, severe respiratory distress. References: Heffner AC et al. Incidence and factors associated with cardiac arrest complicating emergency airway management. PMID: 23911630 Kim WY et al. 2013;14(3):130–5. 2013): 71-78.

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Emergency Department Soft Tissue Injuries Airway Management Operations 84

EB Medicine

JULY 8, 2019

Jeff: And while it’s not exactly core EM, we’re going to briefly discuss indications for bariatric surgery, as this is something we don’t often review even in academic training programs. Nachi: Check an EKG immediately after arrival for any patient that may be concerning for ACS.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

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Documentation/Coding Seizures Psychiatric Wellness 64

Taming the SRU

FEBRUARY 3, 2025

Initial work up when suspicious of this process should include ECG, chest x-ray, urinalysis, and the following labs: CBC, CMP, magnesium, phosphate, calcium, uric acid, VBG (for pH), and lactate dehydrogenase (10). Therefore, it should only be administered in life-threatening arrhythmia and not simply for peaked t waves on ECG (2,20).

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Fluid Resuscitation Seizures Dehydration Emergency Department 56