Documentation/Coding EKG/ECG EMS 
Dr. Smith's ECG Blog
JUNE 17, 2024
Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage. If this EKG were handed to you to screen from triage without any clinical information, what would you think? Do you appreciate any dynamic changes compared to the patient’s prior EKG? What do you think?
Dr. Smith's ECG Blog
JUNE 13, 2024
Don't miss his analysis and assessment of the Queen of Hearts AI OMI ECG bot -- that assessment is at the very bottom of the post. Her first set of vitals were documented: BP 116/57 Pulse 94bpm Respiratory rate 24/min O2 sat 90% on room air Temp 97F She had been cleaning a Jeep in the sun, and was sunburned. But which artery?
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EMDocs
SEPTEMBER 23, 2023
We’ll keep it short, while you keep that EM brain sharp. Her presenting EKG is shown below. Clinical features Patients often present after an episode of sudden syncope, although Brugada syndrome can also be found on a routine EKG. ECG to evaluate for arrhythmia. Neurological exam is also unremarkable.
Dr. Smith's ECG Blog
OCTOBER 12, 2024
With EMS, patient had a GCS of 3 and was saturating 60% on room air. He improved to 100% with the addition of non-rebreather, however remained altered and was intubated by EMS with ketamine and succinylcholine. EKG on arrival to the ED is shown below: What do you think? or basilar ischemia. Potassium resulted as 4.9,
Dr. Smith's ECG Blog
JUNE 7, 2024
Below are serial ECGs focusing on the inferior leads and aVL. First, what’s the interpretation of each ECG on its own? #1 2 Normal ECG #3. 2 Normal ECG #3. But 90 minutes later troponin returned at 70ng/L (normal <26 in males and <16 in females), and a repeat ECG was done (ECG#2) for recurring chest pain.
Dr. Smith's ECG Blog
SEPTEMBER 12, 2024
Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of breath. In EMS2 ECG, the T waves in V5 is possibly hyperacute. I focus my comment on the KEY ECG findings that led to this decision. Vitals were within normal limits except for tachypnea.
Dr. Smith's ECG Blog
APRIL 18, 2024
What do you think of the ECG, and does it matter? I sent this to the Queen of Hearts So the ECG is both STEMI negative and has no subtle diagnostic signs of occlusion. 2] This is because, contrary to Bayesian reasoning, the STEMI paradigm is named after and defined by one part of one test: ST elevation on ECG. But only 6.4%
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