EMergucate

AUGUST 25, 2013

lady with a past h(x) of COPD and AF presents with worsening SOB, atypical CP and this ECG

EKG/ECG 40

EKG/ECG COPD EMS 40

EMergucate

OCTOBER 13, 2021

The patient has a background of COPD and … Continue reading → A 60 year old female presents to ED after a heroin OD.

COPD 52

COPD EKG/ECG 52

EM SIM Cases

NOVEMBER 15, 2022

Case Summary This is a case of a 57-year-old male with former smoking history, COPD on home O2, atrial fibrillation on anticoagulation coming into a community emergency department (ED) with symptoms consistent with COPD exacerbation. His initial presentation will respond to traditional therapies for COPD exacerbation.

COPD 52

COPD Military Emergency Department EMS 52

EB Medicine

AUGUST 6, 2022

Aortic Valve Disease Types and causes Mitral Valve Disease Types and causes Tricuspid and Pulmonic Disease Differential Diagnosis acute coronary syndromes (ACS) pulmonary embolism tamponade chronic obstructive pulmonary disease (COPD) pneumonia pneumothorax Prehospital Care Evaluation of chest pain History Shock ED Evaluation History Aortic Stenosis (..)

COPD 52

COPD Emergency Department Shock EKG/ECG 52

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 74

EKG/ECG Administration COPD 74

EMergucate

OCTOBER 10, 2021

The patient has a background of COPD and … Continue reading → A 60 year old female presents to ED after a heroin OD.

COPD 40

COPD EKG/ECG 40

EM Curious

JUNE 3, 2015

ECG Weekly More FOAMed CORE EM CONTENT NON PREGNANT VAGINAL BLEEDING [PODCAST]: EM Basic continues to put out great content on core EM topics, listen to the podcast here discussing the workup and initial management of non pregnant vaginal bleeding in the ED. Be sure to check out the on-going discussion in the comments section.

COPD 52

COPD Ultrasounds EMS Psychiatric 52

Mind The Bleep

FEBRUARY 2, 2025

An ECG will also help with anaesthetic planning Bloods: CRP, U&E, FBC, LFTs, INR (if on warfarin), VBG (for lactate, pH and glucose), amylase Group and save: not all surgical procedures need group and saves- these are expensive and in many cases, unnecessary- check first!

Documentation/Coding 95

Documentation/Coding COPD EKG/ECG Wellness 95

Dr. Smith's ECG Blog

APRIL 12, 2023

A 49 year old woman with h/o COPD only presented with sudden dyspnea. Prehospital Conventional algorithm interpretation: ANTERIOR INFARCT, STEMI Transformed ECG by PM Cardio: PM Cardio AI Bot interpretation: OMI with High Confidence What do you think? The ECG findings are focal to the anterior and high lateral wall.

EKG/ECG 52

EKG/ECG COPD Ultrasounds Outcomes 52

Dr. Smith's ECG Blog

NOVEMBER 25, 2017

Written by Pendell Meyers, edits by Smith: Case A 72 year old female with hypertension and COPD presented with sudden shortness of breath and chest pain. Here is her triage ECG (the baseline is not available but reportedly "normal"): What is your interpretation? There is sinus rhythm with PACs and PVCs. Learning Points: 1.

COPD 52

COPD EKG/ECG Wellness Outcomes 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. An immediate 12-lead EKG was obtained: There is ST elevation in leads aVR and V1, with marked ST depression in I, II, III, aVF, V3-V6. What should be done?

EKG/ECG 40

EKG/ECG Shock Fluid Resuscitation Documentation/Coding 40

Sensible Medicine

AUGUST 21, 2023

More pertinent to your recent This Week in Cardiology podcast , patients with monomorphic ventricular tachycardia and coronary disease often have a small troponin rise and ST segment changes on their initial post-cardioversion ECG (and have established coronary disease).

Administration 98

Administration Outcomes Research COPD 98

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Given her reported chest pain, shortness of breath, and syncope, an ECG was quickly obtained: What do you think? The beat-to-beat variation in the QRS complexes (electrical alternans) is a classic ECG finding of a large pericardial effusion or pericardial tamponade. For clarity in Figure-1 — I've reproduced her initial ECG.

EKG/ECG 40

EKG/ECG Ultrasounds Documentation/Coding COPD 40

Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2

Seizures 40

Seizures Fractures Burns Pediatrics 40

Mind The Bleep

NOVEMBER 21, 2023

An ECG will also help with anaesthetic planning Bloods: CRP, U&E, FBC, LFTs, INR (if on warfarin), VBG (for lactate, pH and glucose), amylase Group and save: not all surgical procedures need group and saves- these are expensive and in many cases, unnecessary- check first!

Documentation/Coding 52

Documentation/Coding COPD EKG/ECG Wellness 52

Dr. Smith's ECG Blog

DECEMBER 13, 2023

This is the result for this ECG, from MDcalc.com : The most accurate cutpoint is 18.2. Here is a similar case from Pendell: This ECG was handed over at triage. That said — the ST-T wave in lead V2 looks to be small only if viewed in the context of its absolute height, as one of 12 leads in the initial ECG shown above in today's post.

EKG/ECG 126

EKG/ECG COPD Wellness Outcomes 126

Dr. Smith's ECG Blog

JANUARY 5, 2020

This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. Here is the ECG: What do you think? Shah and Rubin studied the computer rhythm interpretation of 2160 12-lead ECGs, compared to 2 cardiologists [ 18 ]. noted computer over-interpretation (false positives) of AF in 9 to 19% of ECGs [ 19 ].

EKG/ECG 52

EKG/ECG COPD Wellness Sepsis 52

ACEP Now

JUNE 14, 2024

Chronic obstructive pulmonary disease (COPD) is a chronic disease of the lungs caused by inflammatory and structural changes of the small airways and parenchyma of the lungs that result in chronic airflow obstruction and gas trapping. In 2019, the global prevalence of COPD was estimated to be 10.3 Click to enlarge.

COPD 52

COPD Hospitals Emergency Department Outcomes 52

EMDocs

APRIL 22, 2024

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. During a short period of ROSC an ECG was performed. EKG RV strain. 10,11 Vid 1. SubX4 Asystole RV > LV.

Ultrasounds 90

Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Resuscitation 90

Dr. Smith's ECG Blog

FEBRUARY 28, 2020

An ECG was texted to me (Smith) without any clinical information: What did I say? This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. This is NOT Wellens.

EKG/ECG 52

EKG/ECG COPD Documentation/Coding Shock 52

Dr. Smith's ECG Blog

MARCH 12, 2018

Written by Pendell Meyers, with edits from Steve Smith Let's consider this nearly pathognomonic ECG without the clinical context (because sometimes the clinical context will not be as easy as in this case). This ECG is diagnostic of hemodynamically significant acute right heart strain. What is the answer? Why is it not Wellens???

EKG/ECG 40

EKG/ECG Radiology Radiology COPD 40

Taming the SRU

JANUARY 22, 2025

COPD is characterized by episodes of exacerbations, which require prompt recognition and management due to their potential to escalate rapidly and cause significant morbidity and mortality. Epidemiology Globally, more than 300 million people are affected by COPD, marking it as the third leading cause of death worldwide.

COPD 79

COPD CDC Research Emergency Department 79

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 65

EKG/ECG COPD CPR Administration 65

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.

Stroke 86

Stroke Administration COPD Dehydration 86