Dr. Smith's ECG Blog

JULY 22, 2012

A 6 yo girl had significant trauma from an MVC, with head injury (initial GCS 10, but no intracranial bleeding) and mild orthopedic injuries. As part of her workup, this ECG was recorded: What do you think? The finding of RBBB on this ECG is highly suggestive, if not diagnostic, of myocardial contusion.

Head Injuries 52

Head Injuries EKG/ECG Ultrasounds Outcomes 52

ACEP Now

JULY 6, 2023

Now, for selected patients, emergency physicians can leverage low and non-rising high sensitivity troponin values and a low HEART score (composed of history, ECG, age, risk factors, and troponin level) to implement outpatient follow-up plans safely, within a few hours. Risk of brain tumor induction from pediatric head CT procedures.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Mind The Bleep

JUNE 18, 2023

environmental factors, pain, infection, dehydration, electrolyte disturbance, head injury, medication etc) Does the individual have capacity? It is important to complete an ECG prior to initiating pharmacological therapy as drugs, such as antipsychotics can prolong the QT interval, increasing the risk of arrhythmias.

Psychiatric 52

Psychiatric Documentation/Coding Stroke Fractures 52

Rural Doctors Net

AUGUST 30, 2013

I’d raise here the concept of his ‘anticipated clinical course’ – he’s going to OT and has airway injury that will likely progress – so you might as well intubate on these grounds alone. Sure he’s got a traumatic amputation – your tourniquet has arrested the bleeding, but there may well be more blood loss.

Burns 52

Burns Hospitals Ambulance Services Wellness 52

The Skeptics' Guide to EM

APRIL 9, 2022

He remained completely awake and alert and otherwise appeared well. The workup can include laboratory testing, EEGs, ECGs, echocardiogram and advanced neuroimaging. There was no history of recent trauma, infectious symptoms, or any other illness.

Head Injuries 52

Head Injuries Emergency Department Seizures Stroke 52

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64