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.

EKG/ECG 52

EKG/ECG Dehydration Burns Outcomes 52

Taming the SRU

NOVEMBER 21, 2023

The time from diagnosis to treatment does not affect outcomes in patients with AML. Abdominal pain, nausea, vomiting, and dehydration are common. Chelation is reserved for cases of end-organ damage or life threats, but should be initiated as quickly as possible to be most effective.

Pediatrics 90

Pediatrics EKG/ECG Resuscitation Dehydration 90

Dr. Smith's ECG Blog

NOVEMBER 9, 2012

On arrival, here is his initial ED ECG, and is identical to the prehospital ECG and at the same rate: There is a regular, wide complex. The patient ' s baseline ECG looks exactly the same, except that it is slower (93) and the p-waves are obvious. Maybe the patient has dehydration, sepsis, hemorrhage, or PE.

EKG/ECG 52

EKG/ECG Dehydration Sepsis Shock 52

EMDocs

MAY 15, 2024

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis Sickling leads to vascular occlusion, end-organ ischemia, and decreased RBC lifespan, which, in turn, leads to pain crisis, acute anemia, sequestration, infection, and acute chest syndrome (ACS.) ECG: Evaluate for ischemia, right heart strain.

Blood Transfusions 79

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 79

EMDocs

MAY 28, 2024

Other causes of sickling: acidosis, dehydration, inflammation, infection, fever, and blood stasis. ECG: Evaluate for ischemia, right heart strain. Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Causes and outcomes of the acute chest syndrome in sickle cell disease. times maintenance.

Blood Transfusions 76

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 76

EMDocs

OCTOBER 10, 2024

EKG shows atrial fibrillation with a rate of 169. She had no persistent vomiting, was not dehydrated and had no fever. A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome. Glucose is 490, CO2 8, and pH 7.26

Documentation/Coding 75

Documentation/Coding Hospitals Sepsis Infectious Diseases 75

Taming the SRU

APRIL 13, 2023

stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e. stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52