Remove Academics Remove EKG/ECG Remove Resuscitation
article thumbnail

ECG Blog #389 — A Quote from Sherlock Holmes

Ken Grauer, MD

MY Approach to the Rhythm in Figure-1: As per ECG Blog #185 — I favor the P s, Q s, 3 R Approach for interpretation of the cardiac rhythm — beginning with whichever of these 5 KEY Parameters is easiest to assess for the tracing in front of me: At least in the single lead II rhythm strip seen in Figure-1 — The Q RS complex appears to be narrow.

EKG/ECG 370
article thumbnail

Very fast regular tachycardia: 2 ECGs from the same patient. What is going on?

Dr. Smith's ECG Blog

An ECG was recorded immediately and is shown below. How do you interpret the ECG? ECG#1 There is a regular tachycardia with a ventricular rate of about 180 bpm. After cardioversion, if successful, you can take a few moments to assess the 12-lead in more detail and assess the post conversion ECG. ECG#2 What do you think?

EKG/ECG 134
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

50 yo with V fib has ROSC, then these 2 successive ECGs: what is the infarct artery?

Dr. Smith's ECG Blog

A 50 yo was resuscitated from ventricular fibrillation. He had a prehospital ECG recorded after ROSC: What do you think? On arrival to the ED, this ECG was recorded: What do you think? But without seeing that first prehospital ECG, I would call this: "Posterior OMI until proven otherwise."

EKG/ECG 111
article thumbnail

Anterior OMI. What does the angiogram show?

Dr. Smith's ECG Blog

His ECG is shown below. How does RCA occlusion fit with the ECG? The answer is that the ECG really shows right ventricular OMI. We've highlighted a considerable number of acute RV MI cases in Dr. Smith's ECG Blog ( See the October 7, 2019 and May 10, 2024 posts , to name just two ). There is non-obstructive disease here.

EKG/ECG 121
article thumbnail

Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. Why?

Dr. Smith's ECG Blog

Here was his initial ED ECG: There is atrial fibrillation with a rapid ventricular response. ST depression is common BOTH after resuscitation from cardiac arrest and during atrial fib with RVR. Here is the post cardioversion ECG: ST depression, with ST elevation in aVR persists. He had a history of CAD with CABG. This was done.

article thumbnail

Proning for ARDS

Northwestern EM Blog

Hemodynamic instability and ongoing cardiac arrhythmias are a strong contraindication as chest access for cardiopulmonary resuscitation is limited (Koulouras et. Remove ECG leads and patches. Reattach EKG leads to back. Academic Emergency Medicine. Leave most of the sheet hanging. Suction as needed. Strayer, R.J.,

article thumbnail

SGEM#301: You Can’t Stop GI Bleeds with TXA

The Skeptics' Guide to EM

Robert’s academic interests include research and evidence-based medicine. Audrey’s academic interests include trauma and resuscitation. Robert’s academic interests include research and evidence-based medicine. Audrey’s academic interests include trauma and resuscitation. Reference: Roberts et al.