Tag Archives: terminal deflection

Right bundle branch block – Part I

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How do you identify RBBB on the 12 lead ECG? Forget about turn signals and bunny ears! All you need for the ECG diagnosis of RBBB are the following: A supraventricular rhythm QRS duration equal or greater than 120 ms (0.12 s) Terminal R wave in lead V1 S wave in lead I It’s that […]

Identifying STEMI in the presence of LBBB – Sgarbossa's Criteria – Part I

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There has been a lot of discussion lately about identifying AMI in the presence of LBBB (see Dr. Bearemy’s “My Emergency Medicine Blog” here and a recent thread on the EKG Club). I’ve also been receiving a lot of emails offlist, so I think a full discussion is in order. In my recent post Who […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Matt King
Snapshot Case: What Happened?
Also I would be moving the combo pads around after the first unsuccessful shock to try and find the ectopic foci.
2015-05-29 10:57:55
Matt King
Snapshot Case: What Happened?
Nice case and strong work, but this is why I shock everything in an adult at 200J with a bi-phasic monitor. I would not do this if this was a pediatric PT. If the first shock at say 50-70j is not enough then that means you're just going to have to shock again and submit…
2015-05-29 10:56:24
Steve Pike
Snapshot Case: What Happened?
Thus is the story with elective electrocution. If it works, it's medicine, if it doesn't, it's murder. Every shock shown was indicated, if you don't count the first one.
2015-05-28 22:49:42
Glenda
Snapshot Case: What Happened?
torsades des pointes! Electrolytes??
2015-05-28 16:56:49
Olivier
Snapshot Case: What Happened?
To support Donovan's analysis, QRS are remarkably thin and eventually consistent with paediatric findings. However, as noted, atrial fibrillation in very young patients are quite rare.
2015-05-28 07:36:54

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