ACEP Now

DECEMBER 6, 2024

During initial assessment, an ECG was obtained and revealed ST-segment elevation (STE) in the inferior leads with ST depression anteriorly. Initial ECG demonstrating inferolateral ST segment elevation and anteroseptal depression, just prior to cardiac arrest. The ECG showed ST-segment elevation without obstructive coronary disease.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

Dr. Smith's ECG Blog

OCTOBER 10, 2022

CPR was initiated immediately. Initial ROSC was obtained, during which this ECG was obtained: What do you think? In addition to all of the above, there are T wave inversions in III and aVF, as well as T wave inversions in V2-V4. It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation.

EKG/ECG 52

EKG/ECG Resuscitation Ultrasounds CPR 52

Dr. Smith's ECG Blog

APRIL 29, 2020

CPR was started immediately. Her husband stated that she had not been feeling well in the past 2 weeks and c/o dizziness as well as diarrhea. I was texted this ECG in real time, but it turns out to actually be the 2nd one recorded in the ED. Smith showed a total of 10 ECGs in his comments above.

EKG/ECG 52

EKG/ECG CPR Wellness Academics 52

AED Leader

MAY 5, 2024

Zoll AEDs Zoll is a well-known brand in the AED industry, offering a range of reliable and innovative defibrillators. Let’s take a closer look at some of the critical features of Zoll AEDs: Zoll AED 3 : The Zoll AED 3 is a compact, user-friendly defibrillator that provides real-time CPR feedback and guidance.

CPR 52

CPR EKG/ECG Wellness Operations 52

AED Leader

JULY 10, 2024

The Powerheart G5 is a user-friendly AED that provides real-time CPR feedback and can be used for adult and pediatric patients. It offers advanced features such as ECG monitoring and multiple rescue capabilities. It offers advanced features such as ECG monitoring and multiple rescue capabilities.

CPR 52

CPR EKG/ECG Shock Pediatrics 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

On arrival, CPR was continued and core temperature was measured at 18° C (64.4° A 12-lead ECG was recorded: There is sinus rhythm with RBBB and right axis deviation. Guide to this image: 30 minutes later, at 31 C, this ECG was recorded: The RBBB has resolved. The Osborn waves on ECGs #1 and #2 are huge!

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR EKG/ECG Resuscitation 40

Thinking Critical Care

MAY 20, 2023

So you get a bunch (about 50) lectures to watch prior to the conference, then during the in-person part, you get some live lectures followed by group discussions around those topics, as well as hands-on workshops. If you’re not personalizing your CPR, here’s the place to learn! This is gold.

Airway Management 95

Airway Management Resuscitation EKG/ECG CPR 95

Dr. Smith's ECG Blog

AUGUST 9, 2019

Some total LAD occlusion manifest on the ECG similarly to some left main occlusions. Depending on where the STE vector of the LM occlusion shows up on the ECG, there may be either STE, or STD, or neither in aVR, and lead aVR will not be the important part of the ECG interpretation in these cases.

EKG/ECG 52

EKG/ECG Shock Emergency Department Wellness 52

EM SIM Cases

MAY 9, 2023

However, if you find yourself treating a drowning patient in the ED, this case will have you well prepared. The team should begin CPR and follow the PALS pediatric bradycardia algorithm. After one round of CPR, the patient’s heart rate will increase and the consulting team should arrive. Normal paediatric ECG

Pediatrics 52

Pediatrics CPR Radiology Radiology 52

AED Leader

JULY 19, 2023

The importance of having an up-to-date, well-maintained system shouldn’t be underestimated. When responding to a cardiac arrest, the advanced technology offered by WiFi-enabled models saves time and resources for individuals as well as large organizations. cprINSIGHT Analysis. cprINSIGHT Analysis. LIFELINKcentral.

CPR 52

CPR Shock EKG/ECG Hospitals 52

Dr. Smith's ECG Blog

MARCH 9, 2017

This was her ECG (it is unclear if this was with or without pain): Computerized ECG Read: “Normal sinus rhythm. Normal ECG.” Overall this is a very quiet ECG. link] A repeat ECG was performed 1.5 A biphasic T-wave is only really well-appreciated in V3 now. Don’t trust the computerized ECG reading.

EKG/ECG 52

EKG/ECG CPR Shock Hospitals 52

Don't Forget the Bubbles

OCTOBER 7, 2024

Suspected low voltage injuries (<1000v) should still be approached with an A-E assessment, but if 12 lead ECG and urinalysis are normal, it’s reasonable to discharge the patient. If the ECG is abnormal, the patient should be managed as if exposed to a high voltage (>1000v).

Burns 80

Burns Fluid Resuscitation Shock Resuscitation 80

Dr. Smith's ECG Blog

NOVEMBER 23, 2022

He had history of prior MIs and CABG, as well as diabetes, hypertension, and hyperlipidemia. Here is his triage ECG: PM Cardio version: With no other information at all, I sent this ECG to Dr. Smith, who replied: "I think it is real. He underwent CPR and then was shocked out of VF. STD in V4-5 too." Plate and Meyers.

EKG/ECG 52

EKG/ECG Shock CPR Outcomes 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

He had the following EKG recorded: Low voltage, suggests effusion. He was admitted on oxygen and was doing fairly well with saturations of 100% on 2 L nasal cannula. He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. He was moderately hypoxic.

Shock 52

Shock EKG/ECG Outcomes Hospitals 52

EB Medicine

MARCH 1, 2019

Nachi: This month’s team parsed through roughly 1200 articles as well as guidelines from the eastern association for surgery in trauma also known as EAST. But don’t be reassured by normal vitals, especially in the young, who may be compensating well despite being quite ill. New EKG findings requires admission for monitoring.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

AED Leader

DECEMBER 2, 2024

Furthermore, regular maintenance and training in cardiopulmonary resuscitation (CPR) techniques significantly enhance the potential effectiveness of AEDs in emergencies. CPR techniques and integration with AED use Combining CPR with AEDs can be lifesaving. Knowing when to apply CPR and when to use the AED is vital.

CPR 52

CPR Basic Life Support Resuscitation Hospitals 52

Dr. Smith's ECG Blog

MARCH 11, 2016

Her prehospital ECG was identical to her first ED ECG, and the cath lab was activated: There is massive ST elevation (greater than 15 mm) in V2 and V3, with ST elevation in I and aVL and reciprocal ST depression in II, III, aVF. hours when she called 911. J Am Coll Cardiol 1995; 25:1084-1088. 0 0 1 36 207 MMRF 1 1 242 14.0

EKG/ECG 52

EKG/ECG Outcomes CPR Shock 52

Mind The Bleep

MAY 16, 2023

It also requires exclusion; even though the child in front of you appears well they still need a thorough history and examination to make sure there isn’t something more concerning going on. Assessment A standard thorough history should be taken, as well as a typical A-E assessment.

Basic Life Support 52

Basic Life Support Seizures CPR Wellness 52

Ziqitza HealthCare Ltd

MAY 14, 2024

Ambulance services staff highly qualified and well-trained medical professionals, paramedics and emergency medical technicians, especially educated to provide trauma aid. Dedicated Care: Ambulances have medical personnel trained to provide immediate care and treatment on the emergency scene, as well as advanced medical assistance if required.

Ambulance Services 52

Ambulance Services Hospitals CPR EKG/ECG 52

EB Medicine

NOVEMBER 1, 2018

Thankfully, that gentleman was successfully resuscitated despite no bystander CPR, and if you listen carefully, we hope to arm you with the tools to do so similarly. Jeff: Vascular injuries include coagulation necrosis as well as thrombosis. Those with low voltage injuries and a normal EKG do not require monitoring.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Dr. Smith's ECG Blog

OCTOBER 26, 2020

In total, he received approximately 40 minutes of CPR and 7 defibrillation attempts. Here is his first ECG recorded after stable ROSC: Originally recorded in 50 mm/s (the standard in Norway), here converted to 25 mm/s. While on telemetry the patient remained asymptomatic, however recurrent episodes of ECG abnormalities were recorded.

EKG/ECG 40

EKG/ECG Hyperthermia / Hypothermia Wellness CPR 40

Dr. Smith's ECG Blog

APRIL 8, 2016

He had significant history of CAD with CABG x5, and repeat CABG x 2 as well as a subsequent PCI of the graft to the RCA (twice) and of the graft to the Diagonal. Here is his ED ECG: There is obvious infero-posterior STEMI. This subsequent ECG was recorded after the K was up to 2.2 Most recent echo showed EF of 60%.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Administration 52

EMDocs

JANUARY 11, 2024

Data that do not establish neurological risk stratification in the first 6 hours after CA include the patient’s age, duration of CPR, seizure activity, serum lactate level or pH, Glasgow motor subscore in patients who received NMB or sedation, pupillary function in patients who received atropine, and optic nerve sheath diameter (95.3%, 20/21).

Seizures 94

Seizures Shock Infectious Diseases CPR 94

Critical Care Now

JUNE 21, 2022

CPR was started immediately after the coaching staff could not find a pulse and EMS arrived to find the patient in cardiac arrest. The first prehospital EKG showed Polymorphic Ventricular Tachycardia (PVT) that responded to defibrillation. Other beta-blockers can be used here as well. -It

Seizures 52

Seizures EKG/ECG CPR Shock 52

EMDocs

FEBRUARY 18, 2025

Authors: Lloyd Tannenbaum, MD (EM Attending Physician, Geisinger Wyoming Valley, PA) // Reviewer: Brit Long, MD (@long_brit) Hello and welcome back to ECG Pointers, a series designed to make you more confident in your ECG interpretations. This week, we feature a post from Dr. Tannenbaums ECG Teaching Cases , a free ECG resource.

EKG/ECG 63

EKG/ECG Documentation/Coding Wellness CPR 63

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,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Dr. Smith's ECG Blog

MARCH 8, 2025

Her first ECG is shown. After this ECG was obtained, the ER physician received word that the patient's husband had died in the crash. Repeat ECG was obtained immediately, just 24 minutes after the prior ECG: Given the context, my top differential diagnosis would be stress cardiomyopathy AKA takotsubo. Overall bland.

EKG/ECG 77

EKG/ECG CPR Resuscitation Wellness 77