Documentation/Coding EKG/ECG Hyperthermia / Hypothermia 
Dr. Smith's ECG Blog
JANUARY 30, 2019
An initial EKG was obtained: Computer read: sinus tachycardia, early acute anterior infarct. Here is her prior EKG: When compared to the old EKG – Q waves present before, TWI in aVR present before, but all other changes are new. What is the differential for this EKG? T wave inversion III, aVR, TWF in aVF. Is this an OMI?
Dr. Smith's ECG Blog
OCTOBER 12, 2024
EKG on arrival to the ED is shown below: What do you think? 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. limb lead reversal is now resolved) Unfortunately, QOH V1 got tricked by this second ECG!
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EMDocs
FEBRUARY 9, 2024
An ECG is performed and is shown below: Figure 1. Adapted from Dr. Smith’s EKG Blog. Another ECG is obtained and shown below. Source: [link] As you are calling the ICU and cardiology team, the patient has recurrence of her symptoms and repeat ECG shows return of the PVT. She denies chest pain. What do you do?
The Skeptics' Guide to EM
FEBRUARY 3, 2023
You are tidying your things […] The post SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)? You are tidying your things in anticipation of the arrival of the dayshift when a code blue is called. A post-arrest ECG doesn’t show any signs of STEMI. Are we supposed to be starting hypothermia?”
Dr. Smith's ECG Blog
JANUARY 13, 2025
An ECG was recorded quickly before any further history or physical exam: What do you think? When I saw this (presented at a conference), I immediately thought it looked like Thype 1 Brugada phenocopy (in other words, Type 1 Brugada ECG pattern ). Unexplained cardiac arrest or documented VF/polymorphic VT: +3 3. Hyperkalemia 2.
Dr. Smith's ECG Blog
JULY 22, 2023
An ECG was performed in the ED at 1554: Original image unavailable, this is the only recorded scanned ECG available. In a patient with syncope and fever, this ECG looks more like Brugada. Smith comment: the ECG in question could be due to Brugada, even though there is a change from baseline. PM Cardio digitized version.
Mind The Bleep
OCTOBER 29, 2024
Circulation Assess heart rate, blood pressure, peripheral and central CRT, pulses and 3 lead ECG. 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. Administer high-flow oxygen if indicated and consider arterial blood gas ( ABG ).
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