EB Medicine

MARCH 1, 2019

Consider valvular injury in any patient who appears to be in cardiogenic shock, has hypotension without obvious hemorrhage, or has pulmonary edema. In those with severe injury, you may note refractory hypotension secondary to cardiogenic shock. New EKG findings requires admission for monitoring. of those patients.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

Dr. Smith's ECG Blog

MAY 14, 2022

Here is his ED ECG: Regular Wide Complex Tachycardia at a rate of 229 First : What do you want to do? Next : What do you think is the ECG diagnosis? I am sure you already shocked it, right?" ECG analysis: T his is a regular wide complex tachycardia. ventricular tachycardia ( VT ) or 2. Antidromic WPW). Final analysis: 1.

EKG/ECG 52

EKG/ECG Shock Operations EMS 52

Resus Review

AUGUST 27, 2015

The ECG shows a bradycardia at rate of approximately 36 bpm. The ECG does not demonstrate ischemic features (dynamic T waves, T wave inversions, ST segment elevation or depression, QT prolongation). Presence of pre- or post-operative bundle branch block (RBBB/LBBB). She had also experienced some lightheadedness and nausea.

Operations 52

Operations EKG/ECG Hospitals Emergency Department 52

ACEP Now

MARCH 14, 2024

Electrical injuries—excluding lightning injuries—account for roughly 10,000 nonfatal shock incidents a year and 500 deaths a year. 1,4-5 Thus, an electrocardiogram (ECG) and cardiac monitoring should be performed for unstable, electrical injury patients. 7 Thus, an ECG is recommended for all electrical injuries. Am J Emerg Med.

Burns 52

Burns Fluid Resuscitation EKG/ECG EMS 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Here is her ECG on arrival to the ED: What is your differential? The ECG is quickly reviewed and shows sinus rhythm with normal QRS complexes. Her prior ECG on file is shown below: What are your next steps? Learning Points: The ECG is always just one piece of the clinical puzzle. What are your next steps?

Ultrasounds 40

Ultrasounds EKG/ECG EMS Radiology 40

AED Leader

DECEMBER 2, 2024

Defibrillation: Once a dangerous rhythm is detected, the AED delivers a controlled electric shock to help restore normal heart rhythm. Others have ECG capabilities to help diagnose cardiac rhythms like ventricular fibrillation. An important feature is the ability to adjust shock levels, which can be crucial for patient survival.

CPR 52

CPR Basic Life Support Resuscitation Hospitals 52

Pediatric Emergency Playbook

JUNE 1, 2017

Electrocardiography (ECG) should be performed on any patient with significant blunt chest injury. A negative ECG is highly consistent with no significant blunt myocardial injury. Any patient with a new abnormality on ECG (dysrhythmia, heart block, or signs of ischemia) should be admitted for continuous ECG monitoring.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EB Medicine

JULY 8, 2019

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. These patients often require emergent operative intervention.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EB Medicine

JUNE 6, 2019

Nachi: Moving on to blood pressure: frank hypotension should make you immediately think of a ruptured AAA or septic shock 2/2 an intra abd infection. You can also use the shock index, which as a reminder is simply the HR/SBP. The greatest value of a lactate level is to detect occult shock and sepsis. In one study, a SI > 0.7

Ultrasounds 40

Ultrasounds Radiology Radiology Sepsis 40

Rural Doctors Net

AUGUST 30, 2013

Smart retrieval services have a presence in the Emergency Operations Centre and will be ‘on standby’ as the initial ambulance call comes through – a much more proactive approach than the usual sequence of calls from first responder-ambulance-local hospital-doctor-retrieval service.

Burns 52

Burns Hospitals Ambulance Services Wellness 52

EB Medicine

AUGUST 1, 2018

Jeff: There are a shocking 22 million past-month users of marijuana in the US, followed by pain relievers at 3.8 Jeff: For any patient arriving with suspected cannabis or synthetic abuse, consider checking an EKG. Make sure that the patient knows not to operate vehicles or heavy machinery under the influence of drugs.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

normal glucose, and mild acute on chronic renal failure (Creatinine from 140 to 170 umol/L), and the following ECG, and they were sent to the ED. Theres no prior ECG to compare - but the bradycardia, prolonged PR and peaked T waves could all be from hyperkalemia. regardless of the ECG (when the repeat level came back).[1]

EKG/ECG 119

EKG/ECG Shock Operations Emergency Department 119

ACEP Now

MARCH 5, 2025

A repeat bedside ECG showed complete resolution of tamponade findings (Figure 2), no appreciable pericardial effusion, and relocation of the heart to typical anatomic location. After operative report review, the thoracic surgeon felt this was unlikely. Figure 2. (A)

Ultrasounds 52

Ultrasounds Resuscitation Shock Stroke 52