The Weekend Roundup: ECG Highlights from Around the Web…

weekend-roundup                                                                                                                          *image credit

In case you missed it this week:

 

We had a great case discussion regarding an equivocally challenging ECG.. Was it pericarditis in the end?

 

Dr. Smith had a great case about Wellens' and the implications for treatment.

 

Amal Mattu's ECG video of the week tackles the Modified (yes, a nod to Dr. Smith!) Sgarbossa Criteria.

 

How good are your arrhythmia recognitions skills? GE Healthcare has this Arrhythmia Quiz, 24 questions, with a good review of the essential rules of interpretation!

 

Dr. Venkatesan wonders… "Is it a crime to treat ACS withoug knowing coronary anatomy?"

 

K. Wang presents a new ECG Video covering electrolyte disturbances.

 

Theblunddissection has a quick trauma ECG case involving a 42 year old male c/o chest pain following an MVA.

 

Important Cardiac Arrest news from Wake County showing evidence that we should work cardiac arrests until ROSC or ETCO2 < 11.

 

In this video, Dr. Sheldon Cheskes discusses his study regarding the Peri-shock Pause.

 

Don't forget to check out the latest from the Code STEMI Web Series!

 

Have a great weekend!

 

 

 

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EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Jared
59 Year Old Male: Unwell
Field Dx: Uncompensated cardiogenic shock. Tachycardia caused by compensation mechanism. Probable cause: Complete heart block due to the global nature of the changes. Tx: O2 @ 15 lpm NRB and possibly CPAP if pressure rises enough, 324 ASA, amio drip, possible norepi, and diesel. Put pads on in case he tanks. Definitive Tx: Needs cathed.
2015-07-02 17:46:57
Jonas
59 Year Old Male: Unwell
CPAP. IV. Nitro if BP can be controlled. Kidneys may be in acute failure causing extra fluid, or CHF, or both. Big ole triangular looking t-waves would have me thinking calcium. Monitor to see if conditions improve with CPAP. Place pads on patient, and have help with you in the ambulance.
2015-07-02 17:17:30
Brian Brubaker
59 Year Old Male: Unwell
At a quick glance it looks like tombstones (R on T). At closer look without calipers, it appears to be accelerated ideoventricular rhythm due to complete heart block. Not enough information to go off of, so cardioverting or pacing might just kill the patient quicker than anything. Transport immediately since his sick heart could stop…
2015-07-02 05:49:02
Holden
59 Year Old Male: Unwell
I've only studied cardiology for a few months and have read Dubin's book 1.5 times so I'm not an expert by any means. However, can a possible interpretation be a junctional tachycardia with aberrant ventricular conduction and a STEMI? No P waves and aberrancy causing a slightly wide QRS (but not wide enough for V-Tach).
2015-07-02 00:50:22
James
59 Year Old Male: Unwell
This is a ugly EKG. Wide complex irregular tachycardia around 150's. A-fib and a-flutter are possibilities. He's severely symptomatic. At this point, all treatment is same, electricity. If A fib, it may not want to "shock out" easily. This may be a case where initial cardioversion at max joules would be prudent. Pulmonary edema likely…
2015-07-01 22:00:13

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