Dr. Smith's ECG Blog

OCTOBER 12, 2024

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. EKG on arrival to the ED is shown below: What do you think? ng/mL (consistent with prior baseline), and a repeat EKG was obtained 1 hour after the initial EKG. or basilar ischemia.

EKG/ECG 117

EKG/ECG Documentation/Coding Emergency Department COPD 117

ACEP Now

DECEMBER 6, 2024

A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. During initial assessment, an ECG was obtained and revealed ST-segment elevation (STE) in the inferior leads with ST depression anteriorly.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

Sensible Medicine

AUGUST 21, 2023

Administrative data sets are often collected for the purpose of billing, or costing, or administrative organization, and thus are extremely vulnerable to up coding or intentional or accidental omissions. This is a common probably insurmountable problem with morbidities, such as hypertension, diabetes , COPD , etc.

Administration 98

Administration Outcomes Research COPD 98

Dr. Smith's ECG Blog

JUNE 21, 2024

A patient in the ICU with significant underlying cardiac disease [HFrEF 30%, non-ischemic cardiomyopathy, LBBB s/p CRT-D (biventricular pacer), AVNRT s/p ablation a few yrs ago, hx sinus tachycardia while on max tolerated BB therapy] went into a regular wide-complex tachycardia after intubation for severe COPD exacerbation. What do you think?

EKG/ECG 72

EKG/ECG Administration COPD 72

EMDocs

APRIL 22, 2024

The Accu-Chek was 214, and there was no response to empiric Narcan administration. RV chamber size alone is not enough information to rule-in a PE as RV cavity enlargement can be visualized in other conditions such as pulmonary hypertension, RV infarct, COPD and cardiac arrest from multiple causes. EKG RV strain. 10,11 Vid 1.

Ultrasounds 97

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Shock 97

Dr. Smith's ECG Blog

FEBRUARY 18, 2025

Written by Willy Frick A man in his 50s with COPD presented with dizziness and hypotension. Here is his presenting ECG: What do you think? The ECG shows sinus rhythm. Altogether, this ECG is suspicious (but probably not diagnostic) for hyperkalemia. This is an extremely subtle ECG. Repeat ECG was performed.

EKG/ECG 64

EKG/ECG COPD CPR Administration 64

Taming the SRU

NOVEMBER 18, 2024

Additionally, cardiac instrumentation, recent procedures such as bronchoscopy/endoscopy, central venous catheter placement/displacement, aortic aneurysm, pneumonia, asthma, COPD, pleural effusion, and pericarditis can manifest as intractable hiccups through similar mechanisms. mg IV Olanzapine 2.5

Stroke 86

Stroke Administration COPD Dehydration 86