A middle-aged patient called 911 for 1 hour of chest pain. He was hemodynamically stable. Here is the prehospital ECG: Obvious inferior MI, but also with STE in V3-V6 Here is the first ED ECG: Again, inferior and lateral STEMI.Is there any right ventricular (RV) MI? 85% of inferior MI are due to RCA occlusion.
The following ECG is from a 45 yr old male who presented complaining of weakness and lethargy. Click to enlarge Rate: 48 bpm Rhythm: Regular Sinus bradycardia Axis: Normal Intervals: PR – Normal (~200ms) QRS – Prolonged (120ms) QT – 620ms Apparent due to T-U fusion Additional: ST Depression leads I, II, aVF, V2-6 ‘Down-up’ T wave
It is time for the second part of our collaborative series with the Society of Point of Care Ultrasound (SPOCUS) and Practical POCUS. We are again joined by our guests Janelle Bludorn and Laura Blesse-Hampton. This time we discuss how to integrate ultrasound into an educational program. If you missed Part I, no fear! Check out
Written by Pendell Meyers A female in her 60s with COPD, DM, hypothyroidism, CAD, and severe bladder cancer presented from a nursing home with altered mental status, hypotension, hypoxia, and bradycardia. Here is her initial ECG (no prior for comparison): What do you think? Here is another ECG minutes later: There is a regular wide
Has the FOAM bubble burst? 2018 review of the Emergency Medicine and Critical Care (EMCC) blogs and podcasts with some surprising results The post FOAM EMCC Blogs 2018 appeared first on Life in the Fast Lane. Go to Source Author: Dr Michael Stirling Powered by WPeMatico
A recent residency graduate, let’s call her “The Graduate” or “TG,” texted me these ECGs from somewhere far away across the country, in real time, in the hopes of being able to persuade the interventionalist to take the patient to the cath lab. Case An otherwise healthy middle-aged patient presented with chest pain of uncertain
It’s Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 266 The post Funtabulously Frivolous Friday Five 266 appeared first on Life in the Fast Lane. Go to Source Author: Dr Neil Long Powered by WPeMatico
The following ECG is from a 45 yr old male who presented complaining of weakness and lethargy. Click to enlarge Things to think about What are the key ECG abnormalities ? What are the potential causes for these features ? Powered by WPeMatico
In collaboration with the Society of Point of Care Ultrasound (SPOCUS) and Practical POCUS, we are striving to help those who are wanting to improve their training programs. We bring faculty that have experience of introducing ultrasound to the classroom. These pearls are beneficial to all levels of education and not just for PA programs.
Written by Pendell Meyers A female in her late 40s presented with chest pain, waxing and waning over the past 24 hours. Her history included end stage renal disease on dialysis, HTN, and DM. Here is her initial ECG around 4:30pm: Sinus tachycardia. The QRS is characterized by high voltage and nonspecific intraventricular conduction delay.There