Archive for March2017
Triaging Triage ECGs
I’ve spent nine years working in an emergency department, which means I’ve also spent nine years performing electrocardiograms at triage. With a couple thousand waiting-room ECGs under my belt, I’ve noticed a few things: A lot of ECGs are ordered at triage. Many of them are performed on low-risk patients. Very few of those ECGs […]
EMS 12-Lead
Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, ResuscitationRecent Posts
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Goran
80 Year Old Female: “Rapid Heart Rate”
No sinus rythm,but rather atrial flutter with Mobitz type 1 - Wenkebach phenomen
2019-02-20 15:29:04
80 Year Old Female: “Rapid Heart Rate”
No sinus rythm,but rather atrial flutter with Mobitz type 1 - Wenkebach phenomen
2019-02-20 15:29:04
Goran
80 Year Old Female: “Rapid Heart Rate”
It is regularly irregular rythm.It seems like Mobitz type 1 - Wenkebach ,secondary to sinus tachycardia.It is visible P wave in V1 lead.We should find primary cause of sinus tachycardia?
2019-02-20 15:17:14
80 Year Old Female: “Rapid Heart Rate”
It is regularly irregular rythm.It seems like Mobitz type 1 - Wenkebach ,secondary to sinus tachycardia.It is visible P wave in V1 lead.We should find primary cause of sinus tachycardia?
2019-02-20 15:17:14
Paul
80 Year Old Female: “Rapid Heart Rate”
On first glance it looks like afib rvr new onset. Without marching the qrs complexes out though, it looks like they are pretty regular, like an accelerated junctional rhythm with every 4th beat dropped. Looks like a p wave can be seen in v1/2, but not sure and I would print a longer strip out…
2019-01-22 13:42:57
80 Year Old Female: “Rapid Heart Rate”
On first glance it looks like afib rvr new onset. Without marching the qrs complexes out though, it looks like they are pretty regular, like an accelerated junctional rhythm with every 4th beat dropped. Looks like a p wave can be seen in v1/2, but not sure and I would print a longer strip out…
2019-01-22 13:42:57
Ken Grauer
58 Year Old Male, Workout Worry
@ Eli — I don’t see AFlutter. That is, I see no indication of regular atrial activity at a rate consistent with AFlutter. Instead, the rhythm is irregularly irregular without P waves = AFib at a controlled ventricular response. In my opinion, one doesn’t need Sgarbossa criteria here to activate the cath lab. So, yes the…
2018-09-13 02:09:24
58 Year Old Male, Workout Worry
@ Eli — I don’t see AFlutter. That is, I see no indication of regular atrial activity at a rate consistent with AFlutter. Instead, the rhythm is irregularly irregular without P waves = AFib at a controlled ventricular response. In my opinion, one doesn’t need Sgarbossa criteria here to activate the cath lab. So, yes the…
2018-09-13 02:09:24
Vince DiGiulio
Is epinephrine harmful in cardiogenic shock?
Sorry about that; I copied the quote from the article and my browser automatically changed the "μ" to an "m". Thanks for noticing, and thanks for pointing it out in the most passive-aggressive manner possible.
2018-09-12 16:45:26
Is epinephrine harmful in cardiogenic shock?
Sorry about that; I copied the quote from the article and my browser automatically changed the "μ" to an "m". Thanks for noticing, and thanks for pointing it out in the most passive-aggressive manner possible.
2018-09-12 16:45:26
