Category Archives:
Conclusion: Rate Related VS Primary ST-T Changes
This is the conclusion to our previous case, “RATE RELATED VS PRIMARY ST-T CHANGES“. Check it out before you read this final portion. This was the initial 12 lead ECG obtained by EMS prior ED arrival: There is an irregularly irregular tachycardia with no signs of P waves, which the Lifepak 15 determined to […]
Rate Related VS. Primary ST-T Changes:
A 56 year old black male presents to the Emergency Department via EMS, complaining of Chest Pressure, 10/10 pain scale. Pain started suddenly following sudden onset of palpitations, while mowing his lawn. All approximately 5 minutes prior calling EMS. Keep in mind, it was a hot and sunny day with temperature in the 90’s. He advised of prior episodes of chest pressure […]
EMS 12-Lead
Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, ResuscitationRecent Posts
Categories
- Axis (1)
- Hyperkalemia (1)
- MI (2)
- Paced Rhythm (1)
- Right Ventricular Involvement (1)
- Sgarbossa's Criteria (2)
- COPD (1)
- 12 Rhythms of Christmas (8)
- 12-Leads of Christmas (12)
- 360 Degree Heart (5)
- Dogmalysis (1)
- ECG Mixtape (2)
- Snapshot (3)
- Spot the STEMI (1)
- Adenosine (1)
- Pharmacodynamics (1)
- Pharmacology (3)
- Pulsus Paradoxus (1)
Archives
Tag Cloud
12-Lead ECG
angiograms
broad complex tachycardia
broad QRS tachycardia
cardiac arrest
case study
Christopher Watford
data quality
David Baumrind
ECG
EKG
EMS
EMS1.com
EMS 12-Lead
ems12lead.com
LBBB
left bundle branch block
Paramedic
Physio-Control
Prehospital 12-Lead ECG blog
right bundle branch block
serial ECGs
sgarbossa's criteria
STEMI
STEMI mimics
sudden cardiac arrest
Tom Bouthillet
Vince DiGiulio
wide complex tachycardia
wide QRS tachycardia Comments
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
Michael Riediger
Is epinephrine harmful in cardiogenic shock?
Quote: "... espite the use of >1 mg/kg/min of epinephrine/norepinephrine ..." You guys know the difference between mg and µg, do you?
2018-09-12 08:08:40
Is epinephrine harmful in cardiogenic shock?
Quote: "... espite the use of >1 mg/kg/min of epinephrine/norepinephrine ..." You guys know the difference between mg and µg, do you?
2018-09-12 08:08:40
Ken Grauer, MD
Electrocardiographically Silent High Lateral STEMI Equivalent
Hi Tom. This is a great case — so NICE that you posted it for others to learned from. But as I commented several times when you sent this case around to our group — the T waves in V2,V3 are disproportionately peaked and transition occurs early (between V1-to-V2) — so the chest leads are NOT…
2018-08-14 08:38:03
Electrocardiographically Silent High Lateral STEMI Equivalent
Hi Tom. This is a great case — so NICE that you posted it for others to learned from. But as I commented several times when you sent this case around to our group — the T waves in V2,V3 are disproportionately peaked and transition occurs early (between V1-to-V2) — so the chest leads are NOT…
2018-08-14 08:38:03
