Author Archives: Christopher Watford

2013 STEMI Guidelines: EMS is Accountable

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On Monday, the American College of Cardiology Foundation and the American Heart Association released the 2013 Guidelines for the Management of ST-Elevation Myocardial Infarction. Their last updates to these guidelines were in 2004 and 2006, so this is an important milestone. If you have been following our blog and podcast, most of the changes will […]

Name that ECG: 51 year old male – Findings

This is the conclusion to Name that ECG: 51 year old male. 51 year old male, palpitations.   Rhythm: Rate: ventricular rate ~185 bpm, unknown atrial rate Regularity: regular P-waves: none appreciated PRi: N/A QRS duration: ~200 ms Bonus points: Axis: inferior, +90 degrees Bundle Branches: V1-negative, wide-complex QTc: not appreciable ST/T-waves: T-waves: appropriate discordance […]

Name that ECG: 51 year old male

Welcome to another exciting installment of Name that ECG. Remember, your job is to interpret the ECG to its fullest; we'll leave the treatment for somebody else! 51 year old male, palpitations.   Rhythm: Rate? Regularity? P-waves? PR interval? Associated? QRS width? Bonus points: Axis? QTc? ST/T-wave changes? What are your differentials? Posts which include any […]

Name that ECG: 88 year old male – Findings

These are the findings for our Name that ECG case: 88 year old male, weakness. (click for a marked up image)   Rhythm: Rate: Atrial rate of ~120 bpm, appreciated in V1-V3 Ventricular rate of 33 bpm Regularity: regular atrial and ventricular activity P-waves: Appreciable in V1-V3, unknown if sinus but rate is consistent with […]

Name that ECG: 88 year old male

Today our goal is to interpret the ECG to its fullest from a "cold read" perspective. We're giving you the patient's age, chief complaint, and ECG…and that's it! 88 year old male, weakness. Rhythm: Rate? Regularity? P-waves? PR interval? Associated? QRS width? Bonus points: Axis? QTc? Bundle branches? ST/T-wave changes? What are your differentials? Posts which […]

51 year old female CC: Near Syncopal Episode – Conclusion

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This is the conclusion to a 51 year old female CC: Near Syncopal Episode. If you haven't read the first part we highly recommend it! When we left off, our crew was attending to a 51 year old female who had almost passed out in a stadium tunnel during a college football game. We received […]

51 year old female CC: Near Syncopal Episode

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This case comes from a reader who wishes to remain anonymous, as always details have been changed to protect patient and provider privacy. You're working an overtime shift at a college football game on a hot Saturday in August, when a man flags down your crew. You head on over and are directed into one […]

63 year old male CC: Substernal Chest Pain – Discussion

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This is the discussion for 63 year old male CC: Substernal Chest Pain, brought to you by Dr. Brooks Walsh of Mill Hill Avenue Command and Doc Cottle's Desk. Be sure to review the first part! When we last left off, our patient was a 63 year old male complaining of substernal chest pain which awoke […]

63 year old male CC: Substernal Chest Pain

Today we're presenting a case from our friend Dr. Brooks Walsh of Mill Hill Avenue Command and Doc Cottle's Desk. In fact, this case is being presented both for his readers and for ours! We hope you like it. You're working ED triage when a 63-year-old man walks in complaining of substernal chest pressure that […]

24 year old male: "Anxiety Attack" – Conclusion

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This is the conclusion to our case 24 year old male: "Anxiety Attack". Be sure to read Part I before the conclusion! When we left off, our providers were on scene with a young man, in custody, who was pale and had a radial pulse too fast to count. A narrow complex tachycardia was present […]

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