Archive for December2012

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 […]

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 […]