Tag Archives: atrial fibrillation with bundle branch block

Differential diagnosis of wide complex tachycardias – Part V

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Let’s switch gears a little bit and discuss irregular or polymorphic wide complex tachycardias. First I need to tell you a story. A few years ago I was teaching ACLS to a group of mostly nurses at the local community hospital. I volunteered to teach Bradycardias, Tachycardias, and the Hypotension/Shock/Acute Pulmonary Edema algorithm. At first […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Wes Comstock
Snapshot Case: What Happened?
Great example of what happens if you dont sync prior to cardioversion, but I think it is also worth mentioning that its highly unlikely that this patients symptoms were rate related. In the top strip the rate was approx 114 over the 10 seconds and just prior to shock #5 the rate was right around…
2015-05-26 23:17:39
Justin White
Snapshot Case: What Happened?
After shock #4 they didn't sync the monitor again after it defaulted back to defib. They shocked on the T-wave.
2015-05-26 22:47:07
Proficiency vs Deficiency… The Art Of Electrocardiography | EMS 12 Lead
Understanding Amiodarone
[…] on the highlighted title for an Amiodarone breakdown,¬†UNDERSTANDING AMIODARONE¬† ¬†One tool I use in these cases of bradycardia, is SPo2 monitoring. Remember, with every systole […]
2015-05-22 16:59:43
Wayne
12 Lead ECG – Lead Placement Diagrams
I have been doing EKG's for the past thirty years. It use to be that you always lay the patient in the supine position but here lately I have been told that with the patient sitting up right will not change the EKG, is this so ?
2015-05-21 17:37:37
Ivan Rios
Understanding Atropine
Hi Tony, thank you for writing. It's always a bit of a gamble to give opinion in such topics without being there, however, addressing ventilation is a must. The rate could be secondary to vagal stimulation and/or respiratory depression, but it sounds like the patient is compensating pretty well when it comes to the hemodynamic…
2015-05-21 12:55:43

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