Dehydration EKG/ECG Wellness 
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 ).
Dr. Smith's ECG Blog
OCTOBER 26, 2010
He had this ECG recorded. He was rushed by residents into our critical care room with a diagnosis of STEMI, and they handed me this ECG: There is sinus tachycardia with ST elevation in II, III, and aVF, as well as V4-V6. But, remember, we do not evaluate and treat ECGs, we evaluate and treat patients. Are the lungs clear?
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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.
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.,
Dr. Smith's ECG Blog
FEBRUARY 29, 2016
He is worried that he may be dehydrated. In accordance with the last case (in which the patient presented only with vomiting and diarrhea), an ECG was recorded : (Figure 1) Someone thought this was slow VT with a "northwest" axis (towards aVR, or -135 degrees), but there are definite P-waves (with a long PR interval).
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.);
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.
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