Here’s the conclusion to the January 2011 EMS 12-Lead column “Not So Fast…” at EMS1.com.
Congratulations to Vince DiGiulio for submitting the winning diagnosis!
Here’s the conclusion to the January 2011 EMS 12-Lead column “Not So Fast…” at EMS1.com.
Congratulations to Vince DiGiulio for submitting the winning diagnosis!
Instructor Tom Bouthillet
12-Lead ECG Challenge Smartphone App – $5.99
2 Comments
Strong work VinceD! I didn’t follow through on my PAC comment, and missed the obvious VT analogue “fusion complex”. Down at the bottom of the rhythm strip you can see the axis change fairly clearly.
Thanks! I didn’t even notice the upright complex in III through all the baseline movement either, I just blew off those areas of II and III as useless at the time and moved on. I was pushing things a bit by calling it a fusion beat based off the narrower R-wave without that much more conclusive evidence, nice find.