EKG/ECG Outcomes Radiology 
EMDocs
SEPTEMBER 26, 2024
Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Radiology over-reads – Who’s responsible? Patient not informed of enlarged heart, dies 3 weeks post ED visit Miscommunicated radiology findings are a hot topic. EKG, labs, and a CXR are interpreted by the EP as normal.
ACEP Now
DECEMBER 7, 2024
A submassive PE does not result in hypotension but does result in right ventricular (RV) dysfunction (as evidenced by CT or ECG) and/or signs of myocardial injury, such as elevated B-type natriuretic peptide, elevated troponin, or new ECG changes.
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EMDocs
MAY 11, 2024
Brainstem stroke: anatomy, clinical and radiological findings. Endovascular and Clinical Outcomes of Vertebrobasilar Intracranial Atherosclerosis-Related Large Vessel Occlusion. Locked-in syndrome. Reference article, Radiopaedia.org (Accessed on 28 Aug 2023) [link] Ortiz de Mendivil A, Alcalá-Galiano A, et al. doi: 10.1053/j.sult.2013.01.004.
EMDocs
OCTOBER 10, 2024
EKG shows atrial fibrillation with a rate of 169. A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome. Takeaways : There are more questions than answers in this case, but: This is a common outcome. No case was filed.
Dr. Smith's ECG Blog
JUNE 27, 2021
Medics recorded this ECG: There is a lot of artifact, but you can clearly see ST depression in V2 and V3. Here is the first ED ECG (there was no previous ECG on file for comparison): Sinus rhythm and LVH There is some (less than 1 mm) of STD in V3 and V4. ng/mL, and another ECG was recorded and was identical.
EM Literature of Note
OCTOBER 18, 2021
Obviously, in a low-risk population with rare adverse outcomes, there can be no reasonable expectation of value in testing. Patients were eligible by symptoms of an acute coronary syndrome, supported by ECG changes, an elevated troponin, or a history of ischemic heart disease.
EB Medicine
JUNE 6, 2019
CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. Nachi: And remember that hypothermic patients who are septic have worse outcomes than those who are hyperthermic and septic. Nachi: And finally let’s touch upon the ekg and ACS.
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