Dehydration EKG/ECG EMS 
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)?
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.
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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?
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.
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.
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.
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.
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