Ken Grauer, MD
AUGUST 18, 2023
He was not symptomatic with the ECG shown in Figure-1. How would YOU interpret this ECG? Extra Credit ( which is a HINT to the Answer! ): How many beats are recorded on the ECG in Figure-1 ? Figure-1: The initial ECG in today’s case. ( To improve visualization — I've digitized the original ECG using PMcardio ).
Emergency Medicine Cases
OCTOBER 11, 2022
In this month's ECG Cases blog Dr. McLaren explains the PACER mnemonic approach to patients with pacemakers: Pacemaker spike: is it appropriately presence/absent, is there pacemaker-mediated tachycardia (apply magnet) or is there failure to pace (apply magnet to stop sensing, cardio consult)?
Mind The Bleep
DECEMBER 19, 2023
Common stressors in children and adolescents include: Infections: urinary tract infections, gastroenteritis, pneumonias, Poor compliance to insulin therapy, Dehydration, Fasting state, Heatstroke Trauma. or HCO3 10-15 mmol/L: mild DKA (5% dehydration) pH < 7.2 or HCO3 5-10 mmol/L: moderate DKA (5% dehydration) pH < 7.1
Dr. Smith's ECG Blog
DECEMBER 11, 2018
Prehospital EKG and strips (not shown) had "heart rate 156" (according to the computer interpretation) and "Bigeminal PVCs" The prehospital 12-lead looked just like the first ED ECG: What do you think? This ECG is pathognomonic for severe hyperK, and the long ST segment is all but pathognomonic for hypocalcemia.
Dr. Smith's ECG Blog
OCTOBER 25, 2022
Her initial EKG is below. The following EKG was obtained after administration of adenosine. Unfortunately, shortly after this EKG was obtained, the patient returned to SVT. Same as initial ECG. ie, dehydration, periods of increased stress or anxiety, stimulants such as caffeine, alcohol, recreational drugs, etc.);
Taming the SRU
NOVEMBER 21, 2023
Abdominal pain, nausea, vomiting, and dehydration are common. Management IVF resuscitation: will want to give at least 20 cc/kg bolus, however there has been some discussion about doing this in two 10 cc/kg boluses to avoid cerebral edema (as noted below, recent evidence has not supported this).
EMDocs
JANUARY 23, 2024
An inciting event will typically push them over the edge into BRASH syndrome: Dehydration Hypotension from sepsis or another condition GI illness Dosage increase of a chronic medication (e.g., With BRASH, the major ECG change is mainly bradycardia and not all the typical hyperkalemia changes. beta blocker) New medication (e.g.,
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