Dr. Smith's ECG Blog
JANUARY 30, 2019
Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon. Alexandra Schick ( with edits by Dr. Smith ) of an elderly woman who was seen in the ED for altered mental status, hyperthermia, and the initial ECG shown above.
PulmCCM
JANUARY 29, 2024
Read the document for all the details (it’s not long). Patients presenting with hypothermia should not be warmed too quickly (allowing their temperature to increase by <0.5°C/hour). PulmCCM is not affiliated with the American Heart Association. Here’s PulmCCM’s take on the new changes. °C was advised).
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Mind The Bleep
OCTOBER 29, 2024
Exposure Expose the patient in a systematic manner while keeping remaining body areas covered e.g. 1 limb at a time, to reduce the risk of hypothermia. Provide detailed documentation of the initial assessment, treatment provided, and the patient’s response to interventions. Assess pupillary reaction to light.
ACEP Now
OCTOBER 3, 2023
This document is an update of guidelines first published in 2000, and then updated in 2007. Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. 2019;154(7):e191152.
Dr. Smith's ECG Blog
OCTOBER 12, 2024
The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration. Preliminary findings documented in the cath lab were “Anterior STEMI and no significant coronary artery disease.” (!!!) Potassium resulted as 4.9,
Dr. Smith's ECG Blog
JULY 22, 2023
This discussion comes from this previous post: Hyperthermia and ST Elevation Discussion Brugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias. Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon.
EMDocs
FEBRUARY 9, 2024
Common causes include hypokalemia, hypocalcemia, hypomagnesemia, and hypothermia 3. The literature base for the use of lidocaine for torsade storm is documented primarily by case studies in drug-induced TdP. Treat the cause of acquired prolonged QT Other causes of long QT should also be identified and treated.
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