Archive for January2015

Adenosine for sinus tachycardia: Try to avoid this!

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This is the feedback I gave the student on this case. (Recall that this was a young adult male who presented with dyspnea, chest pain, as well as pre-syncope, whose initial ECG showed a brisk tachycardia which went up to the 170s at points): Bottom line: “As you point out, this was sinus tachycardia. When […]

The first iPad mini goes to . . . #EMSToday2015

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Well, apparently at least one of you registered for EMS Today 2015 using promo code EMS12LEAD during checkout. How do I know this? Because I was recently notified by our friends at PennWell that the first drawing for an iPad Mini is complete! The winner is . . . Steven Caho! Congratulations, Steven! If you’re reading this […]

Adenosine given for a narrow-complex tachycardia over 150

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This case comes to me from a paramedic trainee. Many elements have been altered to preserve anonymity. In the following, the narrative from the run-form is interspersed with questions that I put to the student afterwards. I was trying to draw out how a student understood the evaluation and management of tachyarrhythmias. But I don’t […]

The 12 Leads of Christmas: V2

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This article is the tenth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V2 I love V2. It’s probably been my favorite lead to examine and ponder this past year. The cool thing is that it doesn’t seem all […]

The 12 Leads of Christmas: V5

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This article is the ninth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V5 We’re getting into the home-stretch in our little series. I wasn’t entirely sure if we were going to make it through since a few of […]

The 12 Leads of Christmas: V4

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This article is the eighth in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V4 Like aVF, V4 is a tough lead to discuss on its own. It’s part of the natural flow of the complexes across the precordium and […]

The 12 Leads of Christmas: V1

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This article is the seventh in our latest series, The 12 Leads of Christmas, where each day we examine a new finding particular to an individual electrocardiographic lead. Lead V1 Happy New Year everyone! Today’s post is going to be a bit of a hodge-podge as I recover from yesterday’s post on ST-elevation in aVR. […]