Tag Archives: 12-Lead ECG

77 year old female CC: Abdominal Pain

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It's a quiet Sunday afternoon when you're dispatched to a residence for a 77 year old female complaining of abdominal pain. Your dispatch notes indicates she was at the ED the day prior. Upon your arrival, you're met on the porch by the patient's son who directs you inside. Your patient is sitting in a […]

The Trouble with Sinus Tachycardia

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  Sometimes recognizing sinus tachycardia can give us fits. What? Sinus tachycardia? One of the most basic rhythms? The discussion that follows will highlight some of the difficulties sinus tach can present at high rates. The pitfalls of using the generalized term "SVT" will also be discussed. This discussion is not meant to imply that […]

47 year old male: Holiday Indigestion – Conclusion

This is the conclusion to 47 year old male: Holiday Indigestion. Thanks go to a long time reader Nicholas Eisele for this holiday case! Editor's Note: sorry for the delay, it helps to press "publish"! When we left off, our patient was in the back of the truck with a burning sensation radiating to his […]

47 year old male: Holiday Indigestion

Thanks go to a long time reader Nicholas Eisele for this holiday case! As always, details have been changed to protect patient privacy. It is a blustery Christmas morning when you and your partner are dispatched for a 47 year old male with chest pain. Firefighters are already on scene obtaining a history and vitals […]

"What's wrong with Mr. Wilson?"

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  It is a sunny January afternoon at the ER when you are called to see a 57 year old male complaining of feeling "really sick". You find your patient lying in the bed in room 3. He looks pale and short of breath. You introduce yourself and ask him why he has come in […]

HyperK and Shades of Grey: Myths and Facts about Hyperkalemia Part II

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Today we continue our discussion about the myths and facts of hyperkalemia with Dr. Brooks Walsh, author of the Mill Hill Ave Command blog. We also feature contributions from Dr. Stephen Smith, of Dr. Smith's ECG Blog. If you would like to refresh your memory on Part I visit here.             […]

HyperK and Shades of Grey: Myths and Facts about Hyperkalemia Part I

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Happy New Year everybody! We start 2013 with a continuation of our discussion about the field treatment of hyperkalemia.  It might be helpful to review the first part of the discussion," HyperK and Shades of Grey" here.  We are fortunate to have as a guest contributor Dr. Brooks Walsh of the Mill Hill Ave Command blog. […]

Name that ECG: 66 year old female – Findings

This is the conclusion to our Name that ECG case: 66 year old female, resolved chest pain. 66 year old female, resolved chest pain.   Rhythm: Rate: atrial rate of ~55 bpm, ventricular rate of ~55 bpm Regularity: regular P-waves: sinus (upright in I and II), associated 1:1 with the QRS PRi: 140 ms QRS […]

Name that ECG: 66 year old female

Welcome to another installment of Name that ECG! Remember, this is a cold read and your job is to interpret the ECG to its fullest. 66 year old female, resolved chest pain.   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 […]

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 […]

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