An elderly patient had a pre-procedure ECG (ECG-1). She was asymptomatic. The patient had known Left Bundle Branch Block (LBBB) and atrial fibrillation (see ECG-2 below), and was rate controlled on metoprolol. ECG-1 What is the problem? ECG-2 (previous for comparison): There are enormous U-waves, best seen in V1-V3, but also in V4 and V5.
A middle-aged man called EMS for chest pain. This prehospital ECG was recorded: Obvious Anterior STEMI due to proximal LAD occlusion (with STE in aVL and reciprocal STD in inferior leads). On arrival to the ED, this ECG was recorded 10 minutes later: Almost all STE is gone, but the hyperacute T-waves remain While waiting
It’s Friday. Boggle your brain with FFFF challenge and some old fashioned trivia. Funtabulously Frivolous Friday Five 267 The post Funtabulously Frivolous Friday Five 267 appeared first on Life in the Fast Lane. Go to Source Author: Dr Mark Corden Powered by WPeMatico
The following ECG is from a 34 year old female who presented with palpitations and dysponea. Click to enlarge Things to think about What are they key ECG abnormalities ? How would you treat this patient ? Powered by WPeMatico
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