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

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Comments
jason
68 y.o. male with weakness: “Treat the monitor, not the patient?”
I'm with Dave Eastman on this. I think it's hyper K+ and will treat as such. But I'll do that will I head to the PCI capable facility. Do I think there is an underlying STEMI? Nope, I sure don't. Do I know the computer has a hard time with false positives? yup. Am I…
2014-09-28 22:15:54
Rodrigo Furtado
68 y.o. male with weakness: “Treat the monitor, not the patient?”
I did forget, is it possible pacer is placed??? sorry that went right over my head.
2014-09-28 20:38:19
Rodrigo Furtado
68 y.o. male with weakness: “Treat the monitor, not the patient?”
1) Change to every lead? STEMI is questionable on my Dx # 6 on a list of 5. IF my recall on this, IF a Global presentation of ST change with QRS Change: a) STEMI is extremely unlikely or NOT STEMI b) start looking for mechanical problems ( tamponade) or chemical/ electrical (electrolyte imbalance or…
2014-09-28 20:34:36
Dave Eastman
68 y.o. male with weakness: “Treat the monitor, not the patient?”
My first thought was hyperkalemia. If the pt is stable, begin with Ca++ & bicarb. Consider albuterol. Serial 12-leads. Start toward PCI capable facility. If it is hyperkalemia, initial treatment should begin to improve pt's condition and there is no harm caused from the increased transport time. If there is an underlying MI as well,…
2014-09-28 18:05:12
Lisa
68 y.o. male with weakness: “Treat the monitor, not the patient?”
Cath lab
2014-09-28 17:29:51

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