The following ECG is from a 57yr old female who presented with chest pain on a background of known mitral stenosis secondary to rheumatic fever. Click to enlarge Things to think about What are the key ECG abnormalities ? What factors would influence your management ? What are the diagnostic criteria for rheumatic fever ?
Case A 40-something male presented to triage. He had suffered a couple bouts of typical chest pain in the last 24 hours. This ECG (ECG #3) was recorded immediately after the last episode of pain spontaneously resolved. The pain had lasted about one hour. There are classic Wellens’ waves in V2-V5.This is “terminal” T-wave inversion:
Ok, this video makes me cringe. Now that I’ve got that out-of-the-way, happy Wednesday! That means its time, once again, for “What Would You Do?” Wednesday, where I give you a virtual patient through the magic of YouTube, and you tell me how you’d manage it. Today, our patient is a kayaker. It seems he
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog Kate Harding – Losing Richard: What can we learn from her intensivist husband’s shocking death? What is it like to witness an intensivist struggle? And what can we
This ECG is from a 27yr old female who presents with a 10 day history of intermittent palpitations. She is normally fit and well with no known medical issues. Click to enlarge Rate: 72 bpm Rhythm: Regular Sinus rhythm Axis: Normal (-33 deg) Intervals: PR – Short (~115ms) QRS – Prolonged (110ms) QT – 380ms (QTc Bazette 400
This case was sent by Jessica Carmichael, and Emergency Physician on active duty at Irwin Army Community Hospital in Fort Riley, Kansas. She trained at Brooke Army Medical Center. ECG and Case I was sent this ECG with some information, but I looked only at the ECG before reading the text: What do you think?
The last 100 podcasts has been a major milestone. Now that we are in the triple digits, it is worth reviewing some of the highlights from the first 100 episodes. Also, we have a major announcement to share! Since June 2016, we have been sharing Free and Open Access Medical Education (#FOAMed). The first few
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. Exploring the ICD Essentials course, today’s video looks at cardioversion of ventricular
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog Welcome to the 337th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine
This patient with diabetes, but no other health problem, presented after a large insulin overdose. What finding fits with insulin overdose?And how does it help to manage the patient? Answer: There are down-up waves in several leads, especially V3. The upright part is a U-wave, not a T-wave. The diagnosis is hypokalemia. K was confirmed