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)?

EKG/ECG 52

EKG/ECG Dehydration Sepsis EMS 52

RebelEM

OCTOBER 5, 2022

Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 87.0 – Hypercalcemia appeared first on REBEL EM - Emergency Medicine Blog. mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0 Read More LITFL: QT Interval LITFL: Hypercalcemia LITFL: Hypercalcemia Post Peer Reviewed By: Salim R.

Dehydration 52

Dehydration Psychiatric Administration EKG/ECG 52

Dr. Smith's ECG Blog

MARCH 15, 2023

Here is her EKG: What is unusual about this? Here is the ECG after ibutilide: What do you notice? Here is the post-cardioversion ECG: Sinus rhythm, still with the longer QT interval. For more on SSS — See My Comment at the bottom of the page in the July 5, 2018 post in Dr. Smith’s ECG Blog. She was on no medications.

EKG/ECG 52

EKG/ECG Dehydration Stroke Wellness 52

Dr. Smith's ECG Blog

AUGUST 9, 2018

They gave him water with salt, as he thought he was dehydrated." Vitals were obtained, and placed on cardiac monitor, including a 12 lead EKG." There was no post cath ECG , which if unchanged would absolutely confirm that this is his baseline ECG. Learning point: Some patients have scary baseline ECGs.

EKG/ECG 52

EKG/ECG Dehydration EMS Hospitals 52

Dr. Smith's ECG Blog

JULY 24, 2018

We asked for the ECGs to be faxed over while they prepared to transfer him. We received 4 ECGs, including his baseline on file, and three from today, including triage, peri-arrest, and post-ROSC (sorry for the poor quality due to scanning). Prior ECG on file: Sinus tachycardia, imperfect baseline, otherwise unremarkable.

EKG/ECG 52

EKG/ECG Dehydration Resuscitation Documentation/Coding 52

PEMBlog

MARCH 27, 2024

It is not the job or the expectation of the EM provider. GI symptoms are the second most common, and they include vomiting, food intolerance, food aversion, GERD, refractory to normal antireflux measures, diarrhea, and dehydration. Now the important thing for EM providers to know is that this can mimic the presentation of sepsis.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

EMDocs

OCTOBER 7, 2023

We’ll keep it short, while you keep that EM brain sharp. A 17-year-old girl, in moderate distress, is brought in by EMS after a motor vehicle collision. EMS reports that she was “pinned” underneath the dashboard, and it took several hours to extricate her.

EMS 73

EMS Fluid Resuscitation Fractures Resuscitation 73