Sat.Nov 30, 2024

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ECG Blog #458 — Complete Heart Block?

Ken Grauer, MD

I was sent this tracing — and told that providers thought that the rhythm was 3rd-degree ( ie, complete ) AV block. Do YOU agree? Figure-1: The initial ECG in today’s case. NOTE: The tracing in Figure-1 is an 8-lead rhythm strip ( and not a complete 12-lead ECG ). This offers the advantage of providing 8 leads with simultaneously-recorded viewpoints of the same 7 beats that we see in this tracing.

EKG/ECG 318
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Hyperacute T wave or not: do any of these 4 ‘STEMI’ ECGs have Occlusion MI?

Dr. Smith's ECG Blog

Written by Jesse McLaren, with edits from Meyers Four patients presented with chest pain or shortness of breath, and ECGs labeled ‘inferior STEMI’. Using principles of hyperacute T waves, do any have inferior occlusion MI? Patient 1 : 60 year old with shortness of breath Patient 2 : 40 year old with chest pain Patient 3 : 65 year old with chest pain Patient 4 : 55 year old, prior inferior MI, with chest pain See this recent post on the new and evolving science of hyperacute T waves, including 1.

EKG/ECG 74
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SGEM#462: Spooky Scary Access – IV or IO for OHCA

The Skeptics' Guide to EM

Date: November 10, 2024 Reference: Couper et al. The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. October 31, 2024 NEJM Access to the SGEM Podcast episode at this LINK. Guest Skeptic: Missy Carter is a PA currently practicing in critical care after having attended the University of Washington's MEDEX program.

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Interfaces with Rory Spiegel (@EMnerd)! #FOAMed, #FOAMcc, #FOAMer

Thinking Critical Care

So over the years I’ve learnt invaluable stuff from each and every one of the colleagues I’ve managed to build a network with, and certainly I have learnt – and unlearnt – a lot from this guy. Here, Rory and I discuss the concept of interfaces that a group of us painstakingly crafted over the last year. So I hope this starts to spark some interest.

Shock 71